Individual
AMBER VALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
273 BRIGHTON ST, STATEN ISLAND, NY 10307-1705
(302) 242-1566
Mailing address
273 BRIGHTON ST, STATEN ISLAND, NY 10307-1705
(302) 242-1566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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