Doctor Name: | ALISHA VALDEZ |
NPI Number: | 1073960027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 100 Woods Rd Valhalla, NY - 105951530 |
Business Phone Number: | 9144936668 |
Business Fax Number: | |
Mailing Address: | 26 Kipp Ave, Apt 1 ELMWOOD PARK |
State: | NJ |
Postal Code: | 074071009 |
Phone Number: | 9738650242 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2016 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |