Provider Demographics
NPI:1952173825
Name:LAJCAJ, VALBONA
Entity Type:Individual
Prefix:
First Name:VALBONA
Middle Name:
Last Name:LAJCAJ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11818 METROPOLITAN AVE APT 6K
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2017
Mailing Address - Country:US
Mailing Address - Phone:646-316-5551
Mailing Address - Fax:
Practice Address - Street 1:11818 METROPOLITAN AVE APT 6K
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2017
Practice Address - Country:US
Practice Address - Phone:646-316-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1649275221174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist