Provider Demographics
NPI:1578697041
Name:VALLI, MARIA B (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:B
Last Name:VALLI
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:711 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2442
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:1783 ROUTE 9
Practice Address - Street 2:SUITE 206
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-2409
Practice Address - Country:US
Practice Address - Phone:518-783-3110
Practice Address - Fax:518-640-6756
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2017-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY001850-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02741106Medicaid
NY02741106Medicaid