Valencia, Hector Antonio

Valencia, Hector Antonio is an sole proprietor health care provider with primary practice located at 3752 82Nd St 2Nd Fl., Jackson Heights NY 11372-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Valencia, Hector Antonio can be contacted via phone (718) 779-5855.

Contact Information

Primary practice address
3752 82Nd St 2Nd Fl. Jackson Heights NY 11372-7032
Phone: (718) 779-5855
Fax: (718) 779-1053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 187285 New York

Profile Details

NPI number 1366591679
LBN Legal business name Valencia, Hector Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366591679 NPPES
New York MEDICAID 01321686

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