| Doctor Name: | MS. IRENE VILLALBA |
| NPI Number: | 1073818076 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSW |
| License Number: | |
| Business Practice Address: | 6725 188th St Fresh Meadows, NY - 113653767 |
| Business Phone Number: | 7184540661 |
| Business Fax Number: | |
| Mailing Address: | 19007 35th Ave, FLUSHING |
| State: | NY |
| Postal Code: | 113581917 |
| Phone Number: | 7189397419 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2011 |
| NPI Last Update Date: | 01/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |