Individual
AGGY JOLLY VALLANAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8015 164TH ST, FIRST FLOOR, JAMAICA, NY 11432-1119
(718) 969-3005
(718) 969-3811
Mailing address
8015 164TH ST, FIRST FLOOR, JAMAICA, NY 11432-1119
(718) 969-3005
(718) 969-3811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
187893
NY
Other
Enumeration date
10/31/2006
Last updated
05/19/2016
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