Provider Demographics
NPI:1710198825
Name:BOSTORY, VALERIE (MA, ATR - BC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:BOSTORY
Suffix:
Gender:F
Credentials:MA, ATR - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE SAGE HOUSE ON GRAMERCY PARK
Mailing Address - Street 2:4 LEXINGTON AVENUE, 2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5417
Mailing Address - Country:US
Mailing Address - Phone:212-353-3579
Mailing Address - Fax:
Practice Address - Street 1:THE SAGE HOUSE ON GRAMERCY PARK
Practice Address - Street 2:4 LEXINGTON AVENUE, 2E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5417
Practice Address - Country:US
Practice Address - Phone:212-353-3579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist