Individual provider · Type 1 NPI

Jennifer Valladares, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1366584633 Active

Practice location

38 W 83rd St
New York, NY 10024-5280

Call (917) 716-3810 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0060129-1 (NY)
Physician Assistant 363A00000X54334 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1366584633

Jennifer Valladares, PA-C's National Provider Identifier is 1366584633, issued on Feb 13, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Oct 19, 2026.