Provider Demographics
NPI:1225399009
Name:YURICK, VALERIE (OSC, MSED)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:YURICK
Suffix:
Gender:F
Credentials:OSC, MSED
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:YURICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OSC, MSED
Mailing Address - Street 1:91 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:ISLAND PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11558
Mailing Address - Country:US
Mailing Address - Phone:516-227-8697
Mailing Address - Fax:
Practice Address - Street 1:60 CHARLES LINDBERGH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3653
Practice Address - Country:US
Practice Address - Phone:516-227-8697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1887879171M00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator