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Individual

JOSEPH DEL VALLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
770 GRAND BLVD, DEER PARK, NY 11729-5750
(631) 392-4357
Mailing address
71 RUTLAND RD, WEST BABYLON, NY 11704-6625

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/10/2017
Last updated
10/10/2017
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