Organization
PLEASANT VALLEY PEDIATRIC MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK JEFFREY SOBRIN DO (OWNER)
(845) 723-4499
Entity
Organization
Contact information
Practice address
1539 MAIN ST, UNIT D, #192, PLEASANT VALLEY, NY 12569-0192
(845) 723-4499
(845) 723-4196
Mailing address
PO BOX 192, PLEASANT VALLEY, NY 12569-0192
(845) 723-4499
(845) 723-4196
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
12/11/2023
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