Individual
CAMY ALEXANDRE VALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15715 19TH AVE, WHITESTONE, NY 11357-3820
(347) 522-7137
Mailing address
833 CHESS DR, BALDWIN, NY 11510-4308
(347) 522-7137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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