| NPI | 1487487039 |
|---|---|
| Former Legal Business Name | VALLEY DOLOR LLC |
| Entity Type | Organization |
| Authorized Contact | MEGAN NICKERSON Nurse Practioner 845-391-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |