Vallecorsa, Jonathan David

Vallecorsa, Jonathan David is an individual health care provider with primary practice located at 4 Sunset Dr , Latham NY 12110-2104. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Vallecorsa, Jonathan David can be contacted via phone (518) 785-5100.

Contact Information

Primary practice address
4 Sunset Dr Latham NY 12110-2104
Phone: (518) 785-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 062048 New York

Profile Details

NPI number 1821613464
LBN Legal business name Vallecorsa, Jonathan David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2020
Last updated Sep 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers