Individual
ERICKA MARIA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
76 BONIFACE DR STE 1, PINE BUSH, NY 12566-4611
(845) 545-6212
(845) 345-6212
Mailing address
76 BONIFACE DR, PINE BUSH, NY 12566-4612
(845) 545-6212
(845) 345-6212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
245028
NY
Other
Enumeration date
06/06/2006
Last updated
09/19/2022
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