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Juan Carlos Valderrama Castillo

NPI 1225393622 · on the registry since 2012

Practice

Address
3260 48th St
Astoria, NY 11103
Phone
(718) 593-4121

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York