Individual
MAURICIO VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 S BROADWAY, YONKERS, NY 10701-4008
(914) 965-0621
(914) 965-2040
Mailing address
75A LAKE RD 155, CONGERS, NY 10920-2323
(914) 965-0621
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
216884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107385
—
NY
Enumeration date
10/17/2006
Last updated
09/30/2015
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