Provider Demographics
NPI:1013417708
Name:ALLEYVALLEY LLC
Entity Type:Organization
Organization Name:ALLEYVALLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SRULI
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-701-3618
Mailing Address - Street 1:290 W ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5451
Mailing Address - Country:US
Mailing Address - Phone:845-351-0300
Mailing Address - Fax:845-351-0323
Practice Address - Street 1:290 W ROUTE 59
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5451
Practice Address - Country:US
Practice Address - Phone:845-351-0300
Practice Address - Fax:845-351-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health