Individual
EDWIN VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005700
NY
Other
Enumeration date
03/31/2007
Last updated
04/28/2009
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