Organization
PEDIATRIC CARDIOLOGY OF LI PC
Active
Other names
Pediatric Cardiology of LI
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSE M. VALLONE M.D. (PARTNER)
(516) 365-3340
Entity
Organization
Contact information
Practice address
100 PORT WASHINGTON BLVD, SUITE 108, ROSLYN, NY 11576-1347
(516) 365-3340
(516) 365-5512
Mailing address
100 PORT WASHINGTON BLVD, SUITE 108, ROSLYN, NY 11576-1347
(516) 365-3340
(516) 365-5512
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
175239
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175239
LICENSE
NY
Enumeration date
03/02/2006
Last updated
03/25/2013
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