Individual
MR. WILLIAM VALANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PARK RIDGE WIG CENTER 669 WESTWOOD AVENUE, RIVER VALE, NJ 07675
(201) 594-1123
(201) 594-0388
Mailing address
669 WESTWOOD AVENUE, PARK RIDGE WIG CENTER, RIVER VALE, NJ 07675
(201) 594-1123
(201) 594-0388
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G75521
EMPIRE BLUE CROSS
NJ
01
—
G75521
EMPIRE BLUE CROSS
NY
Enumeration date
11/20/2006
Last updated
07/08/2007
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