Lidia Valjan
Nurse Practitioner, Primary Care in East Setauket, NY. Individual provider (NPI-1).
NPI number1144690488
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1144690488
- Entity type
- Individual (NPI-1)
- Name
- Lidia Valjan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2015
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | F307512 | NY | Yes |
Practice location
205 N Belle Mead RdEast Setauket, NY 11733-3483
Phone 631-444-4630
Mailing address
Po Box 1559Stony Brook, NY 11790-0989
Phone 631-444-4630
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