Organization
SOUTH NASSAU NEONATAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO VALDIVIESO M.D. (DIRECTOR)
(516) 632-3934
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3934
Mailing address
1 HEALTHY WAY, ATT PHYSICIAN BILLING CREDENTIALS, OCEANSIDE, NY 11572-1551
(516) 255-1616
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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