JOSE DARIO OVALLE

CORONA, NY
NPI1013124627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  009185)
Enumeration Date2007-05-16
Last Update Date2007-07-09
Business Address
-- JOSE DARIO OVALLE PA
102 11 ROOSEVELT AVE.
CORONA, NY 11368-2331
Phone number: 717-898-5200
Mailing Address
-- JOSE DARIO OVALLE PA
102 -11 ROOSEVELT AVE.
CORONA, NY 11368-2331
Phone number: 718-989-5200
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