# SPRING VALLEY WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPRING VALLEY WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508606997
- **Authorized official:** MR. LEO ESCOBAR (CREDENTIALING OFFICER)
- **Authorized official phone:** (908) 202-5690

## Contact information

- **Practice address:** 175 ROUTE 59 STE 170, SPRING VALLEY, NY 10977-5231
- **Practice address phone:** (973) 747-5217
- **Practice address fax:** (973) 396-8832
- **Mailing address:** 400 RELLA BLVD STE 165, SUFFERN, NY 10901-8114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 261QB0400X | Birthing Clinic/Center | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/31/2024
- **Last updated:** 05/31/2024