| Dr Ericka M Valenzuela Medical Office, Pllc | |
| 
					76 Boniface Dr Ste 1 Pine Bush NY 12566-4611  | |
| (845) 545-6212 | |
| (845) 345-6212 | 
| Full Name | Dr Ericka M Valenzuela Medical Office, Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 76 Boniface Dr Ste 1, Pine Bush, New York | 
| Authorized Official Name and Position | Ericka Maria Valenzuela (PRESIDENT) | 
| Authorized Official Contact | 8455456212 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ericka M Valenzuela Medical Office, Pllc Po Box 1613 Pine Bush NY 12566-1613 Ph: (845) 545-6212  | Dr Ericka M Valenzuela Medical Office, Pllc 76 Boniface Dr Ste 1 Pine Bush NY 12566-4611 Ph: (845) 545-6212  | 
| NPI Number | 1699325761 | 
|---|---|
| Provider Enumeration Date | 09/19/2019 | 
| Last Update Date | 09/19/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699325761 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Peak Physical Therapy Pine Bush Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Route 302, Pine Bush, NY 12566 Phone: 845-744-3669 Fax: 845-744-6735  | |
Cornerstone Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 99 Cameron St, Pine Bush, NY 12566 Phone: 845-563-8000  | |
Middletown Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Cameron Street, Pine Bush, NY 12566 Phone: 845-744-2067 Fax: 845-343-5390  |