JORDAN JAMES VALLESE

BRONX, NY
NPI1760713929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  013839)
Enumeration Date2010-01-27
Last Update Date2010-01-27
Business Address
Mr. JORDAN JAMES VALLESE PA
3424 KOSSUTH AVENUE ROOM 9C - 01
BRONX, NY 10467
Phone number: 718-519-3972
Mailing Address
Mr. JORDAN JAMES VALLESE PA
3424 KOSSUTH AVE
BRONX, NY 10467-2410
Phone number: 718-519-3972