Individual
DR. DIANA VALCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 COW NECK RD, PORT WASHINGTON, NY 11050-1143
(516) 883-2444
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
249883
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
249883
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2008
Last updated
06/20/2018
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