Individual provider · Type 1 NPI

Jillian Amanda Vallo, PA-C

Medical Physician Assistant · Middletown, NY

NPI number 1205445384 Active

Practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Fax (845) 703-6297

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X025456 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1205445384

Jillian Amanda Vallo, PA-C's National Provider Identifier is 1205445384, issued on Jul 24, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, NY. The record was last updated on Jan 24, 2025.