Individual provider · Type 1 NPI

Jordan James Vallese, PA

Medical Physician Assistant · Bronx, NY

NPI number 1760713929 Active

Practice location

3424 Kossuth Avenue, Room 9C - 01
Bronx, NY 10467

Mailing address

3424 Kossuth Ave
Bronx, NY 10467-2410

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X013839 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1760713929

Jordan James Vallese, PA's National Provider Identifier is 1760713929, issued on Jan 27, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Jan 27, 2010.