Organization
VALLEY DOLOR LLC
Active
Other names
Valley Dolor LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN NICKERSON NP (NURSE PRACTIONER)
(845) 391-0338
Entity
Organization
Contact information
Practice address
1 CORWIN CT, NEWBURGH, NY 12550-5190
(845) 391-0338
Mailing address
1 CORWIN CT, NEWBURGH, NY 12550-5190
(845) 391-2984
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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