Provider Demographics
NPI:1306022173
Name:ELMALEM, VALERIE ILANA (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ILANA
Last Name:ELMALEM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:440 KENT AVE APT 11C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-5930
Mailing Address - Country:US
Mailing Address - Phone:917-533-7796
Mailing Address - Fax:718-245-5332
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:E BUILDING, 8TH FLOOR, SUITE C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-245-5460
Practice Address - Fax:718-245-5332
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2012-09-13
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Provider Licenses
StateLicense IDTaxonomies
WI54706-020207W00000X
GA061732207W00000X
NY264799207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology