| Valdemar Np In Psychiatry Pllc | |
|
1241 Deer Park Ave Ste 1 North Babylon NY 11703-3114 | |
| (631) 241-2568 | |
| Not Available |
| Full Name | Valdemar Np In Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1241 Deer Park Ave Ste 1, North Babylon, New York |
| Authorized Official Name and Position | Reggie Donald Valdemar (PHMNP) |
| Authorized Official Contact | 6312412568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valdemar Np In Psychiatry Pllc 1241 Deer Park Ave Ste 1 North Babylon NY 11703-3114 Ph: () - | Valdemar Np In Psychiatry Pllc 1241 Deer Park Ave Ste 1 North Babylon NY 11703-3114 Ph: (631) 241-2568 |
| NPI Number | 1225873870 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 4082159207 |
|---|---|
| Medicare Enrollment ID | O20240712000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225873870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Reggie Donald Valdemar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285374660 PECOS PAC ID: 0042689515 Enrollment ID: I20221206002106 |
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