| Valera Medical, P.a. | |
|
134 N 4th St Brooklyn NY 11249-3296 | |
| (646) 450-7748 | |
| Not Available |
| Full Name | Valera Medical, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 134 N 4th St, Brooklyn, New York |
| Authorized Official Name and Position | Thomas Tsang (CEO) |
| Authorized Official Contact | 7178800109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valera Medical, P.a. 134 N 4th St Brooklyn NY 11249-3296 Ph: (646) 450-7748 | Valera Medical, P.a. 134 N 4th St Brooklyn NY 11249-3296 Ph: (646) 450-7748 |
| NPI Number | 1306435060 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 01/15/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 6709272008 |
|---|---|
| Medicare Enrollment ID | O20220414000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306435060 | NPI | - | NPPES |
| Provider Name | Laurie Engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386738904 PECOS PAC ID: 2961459771 Enrollment ID: I20050405000019 |
| Provider Name | Laura Haekyoung Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720198179 PECOS PAC ID: 7517060551 Enrollment ID: I20070313000393 |
| Provider Name | Toni Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023427325 PECOS PAC ID: 9638484280 Enrollment ID: I20150813009624 |
| Provider Name | Michael Olukotun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770027138 PECOS PAC ID: 3779841028 Enrollment ID: I20171214002901 |
| Provider Name | Ulanda Marcus-aiyeku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637174 PECOS PAC ID: 3779992540 Enrollment ID: I20210506002433 |
| Provider Name | Michael Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558749804 PECOS PAC ID: 0648540278 Enrollment ID: I20220414001116 |
| Provider Name | Dominique Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538695432 PECOS PAC ID: 5890107783 Enrollment ID: I20220414001447 |
| Provider Name | Elsa Sasha Yu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265869978 PECOS PAC ID: 3375803794 Enrollment ID: I20220414001598 |
| Provider Name | German Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609302504 PECOS PAC ID: 1557765799 Enrollment ID: I20220415000013 |
| Provider Name | Maria F Berke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497397699 PECOS PAC ID: 9032596259 Enrollment ID: I20220510000029 |
| Provider Name | Nawras S Shukair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205030483 PECOS PAC ID: 1951456789 Enrollment ID: I20220514000009 |
| Provider Name | Shani Muhammad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295308534 PECOS PAC ID: 0648421685 Enrollment ID: I20220729000095 |
| Provider Name | Jacqueline Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518305028 PECOS PAC ID: 0042551327 Enrollment ID: I20220825000182 |
| Provider Name | Joseph Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770943128 PECOS PAC ID: 8628499332 Enrollment ID: I20220825000188 |
| Provider Name | Tracy Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710635206 PECOS PAC ID: 0042694531 Enrollment ID: I20220901001340 |
| Provider Name | Anyi Hsueh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295047447 PECOS PAC ID: 5991975625 Enrollment ID: I20220922001909 |
| Provider Name | Shawn Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841878162 PECOS PAC ID: 3870993058 Enrollment ID: I20220926000072 |
| Provider Name | Yuen Shan Manna Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801105283 PECOS PAC ID: 6709149602 Enrollment ID: I20220926003661 |
| Provider Name | Brittany Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407301567 PECOS PAC ID: 0244528602 Enrollment ID: I20221007000385 |
| Provider Name | Tyiesha Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699200998 PECOS PAC ID: 4688061211 Enrollment ID: I20221017001535 |
| Provider Name | Erin Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528478096 PECOS PAC ID: 3476770207 Enrollment ID: I20230225000175 |
| Provider Name | Rachel King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700128535 PECOS PAC ID: 6507087921 Enrollment ID: I20230503000651 |
| Provider Name | Jason Lulejian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245643048 PECOS PAC ID: 8426395062 Enrollment ID: I20230607000602 |
| Provider Name | Sonya Prystajko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477708782 PECOS PAC ID: 4284934209 Enrollment ID: I20230930000440 |
| Provider Name | Qiana Sylvia-stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629623111 PECOS PAC ID: 6002206059 Enrollment ID: I20231025000143 |
| Provider Name | Derek Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841522398 PECOS PAC ID: 7012382419 Enrollment ID: I20231102000483 |
| Provider Name | Debbie Mcelveen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922376763 PECOS PAC ID: 3779931449 Enrollment ID: I20231120001185 |
| Provider Name | Adebimpe Ogunade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114675675 PECOS PAC ID: 6800249426 Enrollment ID: I20240131001591 |
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