Individual
CARLOS F VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
291 WALL ST, KINGSTON, NY 12401-3849
(845) 339-3736
(845) 339-3736
Mailing address
291 WALL ST, KINGSTON, NY 12401-3849
(845) 339-3736
(845) 339-3736
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
198285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03686660
—
NY
Enumeration date
05/02/2006
Last updated
10/12/2015
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