Organization
JUAN VAILLANT MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN VAILLANT M.D. (PHYSICIAN/OWNER)
(718) 892-9373
Entity
Organization
Contact information
Practice address
2818 STEINWAY ST, ASTORIA, NY 11103-3349
(718) 892-9373
Mailing address
2818 STEINWAY ST, ASTORIA, NY 11103-3349
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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