Organization
VALLEY STREAM MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN PETER URBANCZYK MD (PRESIDENT)
(516) 825-3666
Entity
Organization
Contact information
Practice address
15 FLETCHER AVE, VALLEY STREAM MEDICAL ASSOCIATES, P.C., VALLEY STREAM, NY 11580-4000
(516) 825-3666
(516) 872-5133
Mailing address
15 FLETCHER AVE, VALLEY STREAM MEDICAL ASSOCIATES, P.C., VALLEY STREAM, NY 11580-4000
(516) 825-3666
(516) 872-5133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207RP1001X
Pulmonary Disease Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01618368
—
NY
Enumeration date
08/30/2016
Last updated
11/08/2023
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