=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063654994
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE MICHELLE ORAM M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2009
-----------------------------------------------------
Last Update Date | 03/23/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 317 E 34TH ST FL 5
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10016-4911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-981-7258
-----------------------------------------------------
Fax | 212-209-3218
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 317 E 34TH ST FL 5
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10016-4911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-981-7258
-----------------------------------------------------
Fax | 212-209-3218
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | 240824
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------