Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 232013 | NY |
NPI | 1013094739 |
---|---|
Provider Name | Hernan Valdez |
First Address | New York, NY 10016-3857 |
Second Address | Bronx, NY 10457-7626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |