Individual
MR. JESS NICCOLO VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 680-8596
Mailing address
1 RUBINSTEIN CT, SPRING VALLEY, NY 10977-1821
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
820496
NY
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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