| Valentine Lane Family Practice Center, Inc. | |
|
503 S Broadway Suite 210 Yonkers NY 10705-3252 | |
| (914) 965-9771 | |
| (914) 965-4724 |
| Full Name | Valentine Lane Family Practice Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 503 S Broadway, Yonkers, New York |
| Authorized Official Name and Position | Kathleen Callanan (ASSISTANT EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9149647433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentine Lane Family Practice Center, Inc. 503 S Broadway Suite 210 Yonkers NY 10705-3252 Ph: (914) 965-9771 | Valentine Lane Family Practice Center, Inc. 503 S Broadway Suite 210 Yonkers NY 10705-3252 Ph: (914) 965-9771 |
| NPI Number | 1285678037 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285678037 | NPI | - | NPPES |
| 00473065 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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