Individual
ANNELISE VALERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PARK AVE, PORT CHESTER, NY 10573-2441
(914) 934-5014
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
095265
NY
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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