| Valeus Medical Group | |
|
11358 212th St Queens Village NY 11429-2312 | |
| (475) 329-9504 | |
| Not Available |
| Full Name | Valeus Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 11358 212th St, Queens Village, New York |
| Authorized Official Name and Position | Ydens J Valeus (MD/OWNER) |
| Authorized Official Contact | 5167848425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valeus Medical Group 35 Gale Dr Valley Stream NY 11581-3622 Ph: () - | Valeus Medical Group 11358 212th St Queens Village NY 11429-2312 Ph: (475) 329-9504 |
| NPI Number | 1780380014 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 1951775675 |
|---|---|
| Medicare Enrollment ID | O20230321001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780380014 | NPI | - | NPPES |
| 02825056 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ydens Jean Valeus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417989211 PECOS PAC ID: 8224059282 Enrollment ID: I20230321001686 |
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