Individual
ANTONIO L DEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
45 W 54TH ST, #1E, NEW YORK, NY 10019-5404
(212) 245-5801
(212) 977-9648
Mailing address
135 E 50TH ST, #5E, NEW YORK, NY 10022-7504
(917) 450-6531
(212) 213-3589
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048825-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20681
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
251014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02083594
—
NY
Enumeration date
11/13/2006
Last updated
12/23/2008
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