Individual
AISSA VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
396 BURNS ST, FOREST HILLS, NY 11375-6133
(646) 421-9428
Mailing address
396 BURNS ST, FOREST HILLS, NY 11375-6133
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
F350465-01
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350465-01
NY
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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