Individual
DR. JEAN VALIQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
457 MEADOW RD, KINGS PARK, NY 11754-5007
(631) 292-9266
Mailing address
457 MEADOW RD, KINGS PARK, NY 11754-5007
(631) 292-9266
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
107981
NY
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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