Individual
VANESSA VALDEZ MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 57TH ST STE 212, NEW YORK, NY 10019-0052
(212) 421-5505
Mailing address
2678 ELM DR, NORTH BELLMORE, NY 11710-1306
(347) 249-8108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007327
NY
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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