Individual provider · Type 1 NPI
Irene Vallejo
Specialist · Ridgewood, NY
NPI number
1003723909
Active
Practice location
1820 Menahan St # 2L
Ridgewood, NY 11385-1845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2537671 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003723909
Irene Vallejo's National Provider Identifier is 1003723909, issued on Aug 26, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ridgewood, NY. The record was last updated on Aug 26, 2026.