MEDICARE: CHATHAM PEDIATRICS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1346253218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHATHAM PEDIATRICS, PLLC

Provider Business Mailing Address
First Line	:	2 SHERMAN POTTS DR STE 203
Second Line	:
City	:	GHENT
State	:	NY
Zip	:	12075-3216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 SHERMAN POTTS DR STE 203
Second Line	:
City	:	GHENT
State	:	NY
Zip	:	12075-3216
Country	:	US
Telephone Number	:	518-392-2277
Fax Number	:	518-392-7883

Authorized Official
Title or Position	:	OWNER
Name	:	VALERIE S. CURRY
Credential	:	MD
Telephone Number	:	518-392-2277

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	09/13/2017

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