Del Valle, Antonio L
Del Valle, Antonio L is an individual health care provider with primary practice located at 45 W 54Th St #1E, New York NY 10019-5404. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Del Valle, Antonio L can be contacted via phone (212) 245-5801.Contact Information
Primary practice address
45 W 54Th St #1E
New York NY 10019-5404
Phone: (212) 245-5801
Fax: (212) 977-9648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 20681 | New Jersey |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 251014 | New York |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 048825-1 | New York |
Profile Details
| NPI number | 1477624989 |
|---|---|
| LBN Legal business name | Del Valle, Antonio L |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Dec 23rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477624989 | NPPES |
| New York | MEDICAID | 02083594 |
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