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Individual

DR. IRENEO VALDES ALBANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
188 OCEAN TER, STATEN ISLAND, NY 10301-4514
(718) 816-7962
Mailing address
188 OCEAN TER, STATEN ISLAND, NY 10301-4514
(718) 816-7962

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
139152
NY

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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