Individual
MS. MARY VALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4865
(516) 562-2843
Mailing address
1029 3RD AVE, FRANKLIN SQUARE, NY 11010-1848
(516) 488-2950
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001926
NY
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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