Individual
MR. RENALD VALDEMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
15 AZALIA CT, HEMPSTEAD, NY 11550-1101
(347) 265-8656
Mailing address
30 LINDEN BLVD, A4, BROOKLYN, NY 11226-3178
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
017653
NY
2471C3402X
Radiography Radiologic Technologist
156692
NY
Other
Enumeration date
03/18/2016
Last updated
09/08/2023
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