Individual
LIDIA VALJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3483
(631) 444-4630
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4630
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F307512
NY
Other
Enumeration date
09/29/2015
Last updated
01/04/2021
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