Individual
EMMANUELLA VALERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11 W 14TH ST, DEER PARK, NY 11729-4019
(631) 504-8554
Mailing address
11 W 14TH ST, DEER PARK, NY 11729-4019
(631) 504-8554
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326951
NY
164X00000X
Licensed Vocational Nurse
348555
TX
Other
Enumeration date
06/03/2018
Last updated
05/27/2022
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