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General NPI Number Information
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NPI Number | 1003506197
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL CARE PC
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1130 LINDEN ST
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City | VALLEY STREAM
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State | NY
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Zip | 11580-2144
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Country | US
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Telephone | 516-320-8156
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Fax |
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Provider Business Mailing Address
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Address Line | 19 BLOSSOM ROW
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City | VALLEY STREAM
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State | NY
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Zip | 11580-2509
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Country | US
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Telephone | 718-532-6585
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA CHATTHA
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Credential | MD
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Telephone | 718-532-6585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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