Organization
SPRING VALLEY WELLNESS LLC
Active
Other names
SPRING VALLEY WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO ESCOBAR (CREDENTIALING OFFICER)
(908) 202-5690
Entity
Organization
Contact information
Practice address
175 ROUTE 59 STE 170, SPRING VALLEY, NY 10977-5231
(973) 747-5217
(973) 396-8832
Mailing address
400 RELLA BLVD STE 165, SUFFERN, NY 10901-8114
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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