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Individual

MICHAEL ALLEN VALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 EAST MAIN ST, SUITE 2-7B, HUNTINGTON, NY 11743-7937
(631) 271-2769
(631) 271-2769
Mailing address
205 EAST MAIN ST, SUITE 2-7B, HUNTINGTON, NY 11743-7937
(631) 271-2769
(631) 271-2769

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
127689
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00688151
NY
Enumeration date
08/30/2006
Last updated
07/08/2007
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