Pleasant Valley Pediatric Medicine, Pllc
NPI #1639954464 in Pleasant Valley, New York
Provider Information
- NPI Number
- 1639954464
- Entity Type
- Organization
- Organization Name
- Pleasant Valley Pediatric Medicine, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Dec 11, 2023
Practice Location
- Address
- 1539 MAIN ST, UNIT D
- Address 2
- #192
- City
- Pleasant Valley
- State
- New York
- ZIP Code
- 12569-0192
- Phone
- (845) 723-4499
Authorized Official
- Name
- DR. JACK JEFFREY SOBRIN, DO
- Title
- OWNER
- Phone
- (845) 723-4499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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