Alleyvalley LLC

Organization Active NPI Adult Mental Health Clinic/Center · Spring Valley, NY

NPI 1013417708 · NPPES record last updated Nov 10, 2020

Key facts

NPI
1013417708
Entity type
Organization (NPI type 2)
Primary specialty
Adult Mental Health Clinic/Center 261QM0850X
Legal business name
ALLEYVALLEY LLC
Practice address
290 W Route 59
Spring Valley, NY 10977-5451
Phone
(845) 351-0300
Fax
(845) 351-0323
NPI assigned
Feb 19, 2018
Organization subpart
No

Authorized official

Name
Mr. Sruli Oster
Title
President
Phone
(917) 701-3618

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201222003005 NY Part B Supplier - Clinic/Group Practice 2961814660 Receives reassigned benefits from 3 practitioners
Practice locations: Spring Valley, NY

National Provider Directory

Tax ID family
Alley Valley (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Yes
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

290 W Route 59
Spring Valley, NY 10977-5451

Mailing address

290 W Route 59
Spring Valley, NY 10977-5451
Phone (845) 351-0300

Other providers in Spring Valley, NY

All providers in Spring Valley, NY · Adult Mental Health Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.