Individual provider · Type 1 NPI

Lillian Liduvina Valle, NURSE PRACTITIONER

Adult Health Nurse Practitioner · New York, NY

NPI number 1811050289 Active

Practice location

1111 Amsterdam Avenue, St Lukes Roosevelt Hospital Center Medical Clinic
New York, NY 10025

Fax (212) 523-4554

Mailing address

100 West 105th Street, #D3
New York, NY 10025

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse 163WP2201X2834171 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XF3002971 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1811050289

Lillian Liduvina Valle, NURSE PRACTITIONER's National Provider Identifier is 1811050289, issued on Dec 18, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2025.