Mrs Yaira Michelle Valdivieso, MD | |
703 Main Street, Paterson, NJ 07501 | |
(973) 754-2000 | |
Not Available |
Full Name | Mrs Yaira Michelle Valdivieso |
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Gender | Female |
Speciality | Pediatrics |
Location | 703 Main Street, Paterson, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578746327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA08797700 (New Jersey) | Primary |
Entity Name | Optum Medical Care Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
Mailing Address | Practice Location Address |
---|---|
Mrs Yaira Michelle Valdivieso, MD 1034 Clinton St Apt 103, Hoboken, NJ 07030-3166 Ph: (917) 723-3909 | Mrs Yaira Michelle Valdivieso, MD 703 Main Street, Paterson, NJ 07501 Ph: (973) 754-2000 |
Dr. Mario Charles Colletti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-972-4300 | |
Douaa Khalil, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 247-771-2714 | |
Siham Taftaf Ghanem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Main St, Paterson, NJ 07505 Phone: 973-278-9600 Fax: 973-278-9600 | |
Eric S Lesser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567 | |
Linda C Skroce, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567 | |
Dr. Martha Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 127 Main St, Paterson, NJ 07505 Phone: 973-684-3130 | |
Dr. Rinet Philomena Fernandes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Main St, St Josephs Healthcare Center, Paterson, NJ 07503 Phone: 973-754-2000 |