Mesidor, Valessa

Mesidor, Valessa is an individual health care provider with primary practice located at 1400 Wantagh Ave , Wantagh NY 11793-2257. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mesidor, Valessa can be contacted via phone (516) 308-7405.

Contact Information

Primary practice address
1400 Wantagh Ave Wantagh NY 11793-2257
Phone: (516) 308-7405
Fax: (516) 308-7404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 347927-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 347927-01 New York

Profile Details

NPI number 1972276285
LBN Legal business name Mesidor, Valessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2021
Last updated Jul 2nd, 2024 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972276285 NPPES
New York Other 347927 STATE LICENSE
New York MEDICAID 06885978 STATE LICENSE
New York Other A400330312 STATE LICENSE

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