Irene Vallejo
Specialist in Ridgewood, NY. Individual provider (NPI-1).
NPI number1003723909
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1003723909
- Entity type
- Individual (NPI-1)
- Name
- Irene Vallejo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2026
- Certification date
- Aug 26, 2026
- Last updated
- Aug 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 2537671 | NY | Yes |
Practice location
1820 Menahan St # 2lRidgewood, NY 11385-1845
Phone 917-435-7233
Mailing address
1820 Menahan St # 2lRidgewood, NY 11385-1845
Phone 917-435-7233
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All 32 Specialist providers in Ridgewood · All 847 providers in Ridgewood
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