Juan Vaillant Medical Pllc

NPI #1295132991 in Astoria, New York

Provider Information

NPI Number: 1295132991
Entity Type: Organization
Organization Name: Juan Vaillant Medical Pllc
Primary Specialty: Dermatology
Enumeration Date: Nov 24, 2014
Last Updated: Nov 24, 2014

Practice Location

Address: 2818 STEINWAY ST
City: Astoria
State: New York
ZIP Code: 11103-3349
Phone: (718) 892-9373

Authorized Official

Name: JUAN VAILLANT, M.D.
Title: PHYSICIAN/OWNER
Phone: (718) 892-9373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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