Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jillian Amanda Vallo, PA-C

Individual provider Physician Assistant · NPI 1205445384

MS. Jillian Amanda Vallo, PA-C is a Physician Assistant in Middletown, New York. Qualified in 2020, 6 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone: (845) 703-6999
Fax: (845) 703-6297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 025456 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205445384
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2020
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown