Individual
GLENN VALLADARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(800) 376-5566
Mailing address
PO BOX 33352, HARTFORD, CT 06150-3352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01077043A
IN
207P00000X
Emergency Medicine Physician
Primary
210148
NY
Other
Enumeration date
07/08/2006
Last updated
10/22/2025
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