National Provider Identifier
Tania P Villa
Tania P Villa is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 273-1513.
Profile Overview
- NPI
- 1558539783
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 11, 2008
- Last Updated
- June 25, 2014
Practice Location
- 620 W Seneca St
- Ithaca, NY 14850-3326
Phone: (607) 273-1513
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1558539783
- Entity Type
- Individual
- Last Name
- Villa
- First Name
- Tania
- Middle Name
- P
- Mailing Street Address
- 620 W Seneca St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3326
- Mailing Country
- US
- Mailing Phone
- (607) 273-1513
- Mailing Fax
- (607) 273-8776
- Practice Street Address
- 620 W Seneca St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3326
- Practice Country
- US
- Practice Phone
- (607) 273-1513
- Practice Fax
- (607) 273-8776
- Enumeration Date
- February 11, 2008
- Last Updated
- June 25, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)