Healthcare Provider Details

I. General information

NPI: 1336094978
Provider Name (Legal Business Name): JONA LYN VALDEZ PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JONA VALDEZ PMHNP

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CULVER DR
NEW CITY NY
10956-2327
US

IV. Provider business mailing address

18 CULVER DR
NEW CITY NY
10956-2327
US

V. Phone/Fax

Practice location:
  • Phone: 845-282-2699
  • Fax:
Mailing address:
  • Phone: 845-282-2699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF407979
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: