Provider Demographics
NPI:1447368568
Name:ZARCONE, VALERIE JANE (DO)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:JANE
Last Name:ZARCONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-0365
Mailing Address - Country:US
Mailing Address - Phone:845-528-1898
Mailing Address - Fax:845-528-1042
Practice Address - Street 1:11 PEEKSKILL HOLLOW ROAD
Practice Address - Street 2:
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-0365
Practice Address - Country:US
Practice Address - Phone:845-528-1898
Practice Address - Fax:845-528-1042
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152268207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110008124OtherRAILROAD MEDICARE
D93121Medicare UPIN
04D951Medicare ID - Type Unspecified