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General NPI Number Information
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NPI Number | 1871862573
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Entity Type | Organization
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Legal Business Name | RAMON VALLARINO JR MD PC
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Dates
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Enumeration Date | 12/26/2011
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 3704 91ST ST SUITE C
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7914
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Country | US
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Telephone | 718-396-1742
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Fax | 718-396-3297
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Provider Business Mailing Address
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Address Line | 3704 91ST ST SUITE C
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7914
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Country | US
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Telephone | 718-396-1742
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Fax | 718-396-3297
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMON VALLARINO JR.
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Credential | M.D.
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Telephone | 516-524-1605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 205319
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License Number State | NY
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