Provider Demographics
NPI:1760636294
Name:VALANE, ALISON A (RPA-C)
Entity Type:Individual
Prefix:MISS
First Name:ALISON
Middle Name:A
Last Name:VALANE
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:650 HAWKINS AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-2366
Mailing Address - Country:US
Mailing Address - Phone:631-737-0055
Mailing Address - Fax:631-737-0076
Practice Address - Street 1:650 HAWKINS AVENUE
Practice Address - Street 2:SUITE 7
Practice Address - City:RONKONKOMA
Practice Address - State:NEW YORK
Practice Address - Zip Code:11779
Practice Address - Country:UM
Practice Address - Phone:631-737-0055
Practice Address - Fax:631-737-0076
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
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Provider Licenses
StateLicense IDTaxonomies
NY012915363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant