Organization · Type 2 NPI
Pleasant Valley Pediatric Medicine, PLLC
Primary Care Clinic/Center · Pleasant Valley, NY
NPI number
1639954464
Active
Practice location
1539 Main St, Unit D, #192
Pleasant Valley, NY 12569-0192
Fax (845) 723-4196
Mailing address
PO Box 192
Pleasant Valley, NY 12569-0192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1639954464
Pleasant Valley Pediatric Medicine, PLLC's National Provider Identifier is 1639954464, issued on Aug 29, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pleasant Valley, NY. The record was last updated on Dec 11, 2023.