Healthcare Provider Details
I. General information
NPI: 1114348844
Provider Name (Legal Business Name): VALOR NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/24/2013
Last Update Date: 12/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 HEMPTOR RD
NEW CITY NY
10956-2508
US
IV. Provider business mailing address
7 HEMPTOR RD
NEW CITY NY
10956-2508
US
V. Phone/Fax
- Phone: 800-916-6067
- Fax: 800-643-0747
- Phone: 800-916-6067
- Fax: 800-643-0747
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JOLIENNE
RUTTER
Title or Position: VICE-PRESIDENT
Credential:
Phone: 800-916-6067