Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | F432164-01 | NY |
NPI | 1023769262 |
---|---|
Provider Name | Maria Dolores Valdez |
First Address | Amityville, NY 11701-1430 |
Second Address | Amityville, NY 11701-1430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2022 |
Last Update Date | 10/01/2022 |