Individual
DR. VALENTIN PARDO JOVELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 SHERMAN AVE, NEW YORK, NY 10040-1654
(212) 567-1030
(212) 567-0977
Mailing address
55 SUNSET RD, BLAUVELT, NY 10913-1331
(845) 613-7049
(212) 567-0977
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
221990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02177484
—
NY
Enumeration date
05/20/2007
Last updated
07/09/2007
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