| 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 | Michele Mccleary (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6464507748 |
| 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 | 1871248757 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 6406238310 |
|---|---|
| Medicare Enrollment ID | O20220809000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871248757 | NPI | - | NPPES |
| Provider Name | Jin Li Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023551710 PECOS PAC ID: 7416230867 Enrollment ID: I20170208001704 |
| Provider Name | Dawn Palladino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831609494 PECOS PAC ID: 1759657166 Enrollment ID: I20171030000893 |
| Provider Name | Rachel Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538723358 PECOS PAC ID: 9537402151 Enrollment ID: I20190523001086 |
| Provider Name | Nawras S Shukair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205030483 PECOS PAC ID: 1951456789 Enrollment ID: I20220809000423 |
| Provider Name | Lyndsey Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669130258 PECOS PAC ID: 7214323823 Enrollment ID: I20220809003104 |
| Provider Name | Tran Woolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346724150 PECOS PAC ID: 3072905553 Enrollment ID: I20220907001439 |
| Provider Name | Christina M Ralko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124594288 PECOS PAC ID: 2567838436 Enrollment ID: I20221018000815 |
| Provider Name | Rachel King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700128535 PECOS PAC ID: 6507087921 Enrollment ID: I20230104001277 |
| Provider Name | Michelle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215563168 PECOS PAC ID: 8628494077 Enrollment ID: I20230221000167 |
| Provider Name | Christie Mackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144946468 PECOS PAC ID: 2062889694 Enrollment ID: I20230413001018 |
| Provider Name | Jacqueline Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518305028 PECOS PAC ID: 0042551327 Enrollment ID: I20230420000560 |
| Provider Name | Pauline Wieand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457451056 PECOS PAC ID: 6103103312 Enrollment ID: I20230420001498 |
| Provider Name | Tatiana Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366931487 PECOS PAC ID: 3072984780 Enrollment ID: I20230503003488 |
| Provider Name | Amy Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871974667 PECOS PAC ID: 4486052909 Enrollment ID: I20230504003084 |
| Provider Name | Michael Olukotun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770027138 PECOS PAC ID: 3779841028 Enrollment ID: I20230516002698 |
| Provider Name | Samantha Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386195139 PECOS PAC ID: 6608119805 Enrollment ID: I20230713001669 |
| Provider Name | Paul Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134437171 PECOS PAC ID: 6002044229 Enrollment ID: I20240125000387 |
| Provider Name | Meagan Fergen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275256349 PECOS PAC ID: 8820440910 Enrollment ID: I20240125000792 |
| Provider Name | Jason Lulejian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245643048 PECOS PAC ID: 8426395062 Enrollment ID: I20240312002978 |
| Provider Name | Donita Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326577545 PECOS PAC ID: 1658746110 Enrollment ID: I20240614001845 |
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