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Organization
VALENTINE LANE FAMILY PRACTICE CENTER, INC.
Active
Organization
VALENTINE LANE FAMILY PRACTICE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN CALLANAN RN, MSN, CNAA (ASSISTANT EXECUTIVE DIRECTOR)
(914) 964-7433
Entity
Organization
Contact information
Practice address
503 S BROADWAY, SUITE 210, YONKERS, NY 10705-3252
(914) 965-9771
(914) 965-4724
Mailing address
503 S BROADWAY, SUITE 210, YONKERS, NY 10705-3252
(914) 965-9771
(914) 965-4724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473065
—
NY
Enumeration date
06/15/2006
Last updated
10/19/2007
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