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Reggie Donald Valdemar, PHMNP
Psychiatric/Mental Health Nurse Practitioner in Ronkonkoma, New York
NPI 1285374660

Reggie Donald Valdemar is a Psychiatric/Mental Health Nurse Practitioner based in Deer Park, NY and is specialized in Psychiatric/Mental Health. Reggie Donald Valdemar practices in Ronkonkoma, NY and has the professional credentials of PHMNP. The NPI Number for Reggie Donald Valdemar is 1285374660 and holds a License No. 404034 (New York).

The current practice location address for Reggie Donald Valdemar is 153 Lake Shore Rd, Ronkonkoma, NY and can be reached out via phone at 111-111-1111.

Location: 153 Lake Shore Rd, Ronkonkoma, NY, 11729-5607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285374660
Provider Name
Reggie Donald Valdemar
Credential
PHMNP
Provider Entity Type
Individual
Gender
Male
Address
153 Lake Shore Rd, Ronkonkoma, NY, 11729-5607
Phone Number
111-111-1111
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
153 Lake Shore Rd
City
Ronkonkoma
State
New York
Zip
11779-3157
Phone Number
111-111-1111
Fax Number
person
Provider Business Mailing Address Details
Address
153 Lake Shore Rd
City
Ronkonkoma
State
New York
Zip
11779-3157
Phone Number
111-111-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
404034 (New York)
Definition
Definition to come...
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