Provider Demographics
NPI:1922294370
Name:RAMON VALLARINO MD PC
Entity Type:Organization
Organization Name:RAMON VALLARINO MD PC
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 1:90 WALNUT LN
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1618
Mailing Address - Country:US
Mailing Address - Phone:516-627-5714
Mailing Address - Fax:516-627-5714
Practice Address - Street 1:3704 91ST ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7909
Practice Address - Country:US
Practice Address - Phone:718-396-1742
Practice Address - Fax:718-396-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126947208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02666Medicare PIN