Individual
JENNIFER VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
24 STEVEDORE LN, LEVITTOWN, NY 11756-4317
(516) 728-1887
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308884-1
NY
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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