Individual
ANNALISE VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7640 263RD ST, GLEN OAKS, NY 11004-1143
(347) 893-7508
Mailing address
76-40 263RD ST, GLEN OAKS, NY 11004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
355364
NY
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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