Provider Demographics
NPI:1245833516
Name:VIL JEAN-BAPTISTE, REBECCA VIL
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:VIL
Last Name:VIL JEAN-BAPTISTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 E 32ND ST APT D2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2605
Mailing Address - Country:US
Mailing Address - Phone:917-213-8547
Mailing Address - Fax:
Practice Address - Street 1:164-37 144 ROAD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434
Practice Address - Country:US
Practice Address - Phone:718-978-7221
Practice Address - Fax:718-978-0032
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral