Provider Demographics
NPI:1699961623
Name:RAMON VALLARINO, M.D., P.C.
Entity type:Organization
Organization Name:RAMON VALLARINO, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUFANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-627-5714
Mailing Address - Street 1:816 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4142
Mailing Address - Country:US
Mailing Address - Phone:718-788-5762
Mailing Address - Fax:718-499-3753
Practice Address - Street 1:90 WALNUT LN
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-1618
Practice Address - Country:US
Practice Address - Phone:516-627-5714
Practice Address - Fax:516-627-5714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126947208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty