Individual
KATHLEEN VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
962 LUTHER RD, EAST GREENBUSH, NY 12061-4015
(518) 207-2070
Mailing address
962 LUTHER RD, EAST GREENBUSH, NY 12061-4015
(518) 207-2070
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01409145
—
NY
Enumeration date
10/19/2011
Last updated
10/19/2011
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