Individual
MR. JONATHAN AARON VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN, CSG, CDN, CDE
Contact information
Practice address
2110 30TH AVE APT 1, ASTORIA, NY 11102-4565
(808) 358-4275
Mailing address
2110 30TH AVE APT 1, ASTORIA, NY 11102-4565
(808) 358-4275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008302-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1494322
—
NY
Enumeration date
02/12/2020
Last updated
02/12/2020
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