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Individual

BEVERLY VALLE-FARROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OSC

Contact information

Practice address
1751 ROUTE 17A, FLORIDA, NY 10921-0195
(845) 551-7524
(845) 651-2258
Mailing address
PO BOX 195, FLORIDA, NY 10921-0195
(845) 551-7524
(845) 651-2258

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171M00000X
OSC
NY
Enumeration date
01/10/2013
Last updated
01/10/2013
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