Dr Ericka M Valenzuela Medical Office, Pllc | |
76 Boniface Dr Ste 1 Pine Bush NY 12566-4611 | |
(845) 545-6212 | |
(845) 345-6212 |
Full Name | Dr Ericka M Valenzuela Medical Office, Pllc |
---|---|
Speciality | Family Medicine |
Location | 76 Boniface Dr Ste 1, Pine Bush, New York |
Authorized Official Name and Position | Ericka Maria Valenzuela (PRESIDENT) |
Authorized Official Contact | 8455456212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Ericka M Valenzuela Medical Office, Pllc Po Box 1613 Pine Bush NY 12566-1613 Ph: (845) 545-6212 | Dr Ericka M Valenzuela Medical Office, Pllc 76 Boniface Dr Ste 1 Pine Bush NY 12566-4611 Ph: (845) 545-6212 |
NPI Number | 1699325761 |
---|---|
Provider Enumeration Date | 09/19/2019 |
Last Update Date | 09/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699325761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |