Provider Demographics
NPI:1093773327
Name:NEWMAN, VALERIE J (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:CHALIFOUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2561 LAC DE VILLE BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5645
Mailing Address - Country:US
Mailing Address - Phone:585-244-7330
Mailing Address - Fax:585-244-6958
Practice Address - Street 1:2561 LAC DE VILLE BLVD
Practice Address - Street 2:STE 202
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-244-7330
Practice Address - Fax:585-244-6958
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187641207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01407730Medicaid
NY00040264702OtherUNIVERA
NY6266OtherSIDNEY HILLMAN
NY00355266Medicaid
NY102682BJOtherPREFERRED CARE
NYP010187641OtherBLUE CHOICE
NY10493530OtherCAQH
NY110244046OtherMEDICARE RAILROAD
NY050803000085OtherFIDELIS
NY050803000085OtherFIDELIS
NY10493530OtherCAQH