Healthcare Provider Details

I. General information

NPI: 1366409732
Provider Name (Legal Business Name): VALLEY VIEW FAMILY PRACTICE ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 STATE ROUTE 245
RUSHVILLE NY
14544-9604
US

IV. Provider business mailing address

213 STATE ROUTE 245
RUSHVILLE NY
14544-9604
US

V. Phone/Fax

Practice location:
  • Phone: 585-554-3119
  • Fax: 585-554-3323
Mailing address:
  • Phone: 585-554-3119
  • Fax: 585-554-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT JOHN OSTRANDER
Title or Position: PARTNER
Credential: MD
Phone: 585-554-3119