Provider Demographics
NPI:1134347925
Name:VILLANO, WILLIAM ROCCO (MS, LAC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ROCCO
Last Name:VILLANO
Suffix:
Gender:M
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 PRESIDENT ST.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1186
Mailing Address - Country:US
Mailing Address - Phone:718-230-0583
Mailing Address - Fax:
Practice Address - Street 1:641 PRESIDENT ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1523
Practice Address - Country:US
Practice Address - Phone:718-230-0583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002271-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist