Juan Vaillant Medical PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JUAN VAILLANT MEDICAL PLLC

Practice address

2818 Steinway St
Astoria, NY 11103-3349

Phone

(718) 892-9373

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juan Vaillant, M.D.

Title

Physician/Owner

Phone

(718) 892-9373

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1295132991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033349",
            "telephone_number": "718-892-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN VAILLANT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "VAILLANT",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "718-892-9373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.