Valdez, Jerusalem Vicencio

Valdez, Jerusalem Vicencio is an sole proprietor health care provider with primary practice located at 18 Wood Ln , Valley Stream NY 11581-2618. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Valdez, Jerusalem Vicencio can be contacted via phone (646) 469-1527.

Contact Information

Primary practice address
18 Wood Ln Valley Stream NY 11581-2618
Phone: (646) 469-1527
Fax: (516) 341-0294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 021867 New York

Profile Details

NPI number 1053392860
LBN Legal business name Valdez, Jerusalem Vicencio
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Mar 30th, 2016 - about 8 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.

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