| Jose Dario Ovalle, PA | |
|
102 11 Roosevelt Ave., Corona, NY 11368-2331 | |
| (717) 898-5200 | |
| (718) 898-3673 |
| Full Name | Jose Dario Ovalle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 102 11 Roosevelt Ave., Corona, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013124627 | NPI | - | NPPES |
| 02830239 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 009185 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Dario Ovalle, PA 102 -11 Roosevelt Ave., Corona, NY 11368-2331 Ph: (718) 989-5200 | Jose Dario Ovalle, PA 102 11 Roosevelt Ave., Corona, NY 11368-2331 Ph: (717) 898-5200 |
Ruoru Wong, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3717 111th St Apt 5e, Corona, NY 11368 Phone: 347-893-4912 | |
Mr. Luis A Blanco, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10211 Roosevelt Ave, Corona, NY 11368 Phone: 718-898-1386 Fax: 718-898-1093 | |
Christian Diaz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000 | |
Griselle Villar Ledesma, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10427 Corona Ave, Corona, NY 11368 Phone: 718-592-3458 | |
Marcus Arroyo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000 | |
Mrs. Arlene Marie Luciano, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3418 106th St, Corona, NY 11368 Phone: 917-807-6199 |