Individual
WILTON VALERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSTOM, L.AC
Contact information
Practice address
305 2ND AVE STE 2, NEW YORK, NY 10003-2746
(646) 842-0420
Mailing address
520 W 168TH ST APT 5B, NEW YORK, NY 10032-4117
(646) 842-0420
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003979
NY
Other
Enumeration date
10/08/2009
Last updated
01/20/2010
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