Organization
VALLEY OBSTETRICS AND GYNECOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZZAM M. SALEM M.D. (PRESIDENT)
(845) 483-5893
Entity
Organization
Contact information
Practice address
1 WEBSTER AVE STE 300, POUGHKEEPSIE, NY 12601-1362
(845) 483-5893
(845) 471-4381
Mailing address
1 WEBSTER AVE STE 300, POUGHKEEPSIE, NY 12601-1362
(845) 483-5893
(845) 471-4381
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
138741
NY
207V00000X
Obstetrics & Gynecology Physician
141726
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
159629
NY
207V00000X
Obstetrics & Gynecology Physician
161168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00432682
—
NY
05
—
00646117
—
NY
05
—
01147502
—
NY
05
—
01147566
—
NY
05
—
02050860
—
NY
Enumeration date
03/20/2007
Last updated
09/05/2007
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