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1902926926
EDWIN VALLE
MANHASSET, NY
NPI
1902926926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 005700)
Enumeration Date
2007-03-31
Last Update Date
2009-04-28
Business Address
-- EDWIN VALLE PA
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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Mailing Address
-- EDWIN VALLE PA
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number:
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