Individual provider · Type 1 NPI

Jose Dario Ovalle, PA

Physician Assistant · Corona, NY

NPI number 1013124627 Active

Practice location

102 11 Roosevelt Ave.
Corona, NY 11368-2331

Fax (718) 898-3673

Mailing address

102 -11 Roosevelt Ave.
Corona, NY 11368-2331

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X009185 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013124627

Jose Dario Ovalle, PA's National Provider Identifier is 1013124627, issued on May 16, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Corona, NY. The record was last updated on Jul 9, 2007.