Individual
DR. AGATHI VALLIANATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1456 FULTON ST, BEDFORD STUYVESANT FAMILY HEALTH CENTER, BROOKLYN, NY 11216-2505
(718) 636-4500
(347) 296-8337
Mailing address
1456 FULTON ST, BEDFORD STUYVESANT FAMILY HEALTH CENTER, BROOKLYN, NY 11216-2505
(718) 636-4500
(347) 296-8337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
233651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638140
—
NY
Enumeration date
10/10/2006
Last updated
03/16/2015
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