Healthcare Provider Details

I. General information

NPI: 1346253218
Provider Name (Legal Business Name): CHATHAM PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SHERMAN POTTS DR STE 203
GHENT NY
12075-3216
US

IV. Provider business mailing address

2 SHERMAN POTTS DR STE 203
GHENT NY
12075-3216
US

V. Phone/Fax

Practice location:
  • Phone: 518-392-2277
  • Fax: 518-392-7883
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE S. CURRY
Title or Position: OWNER
Credential: MD
Phone: 518-392-2277