Provider Demographics
NPI:1750334157
Name:VALERY, EMMANUEL (MD)
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:
Last Name:VALERY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 E 49 STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1901
Mailing Address - Country:US
Mailing Address - Phone:718-940-0400
Mailing Address - Fax:718-940-8327
Practice Address - Street 1:86 E 49TH STREET
Practice Address - Street 2:SUITE C&D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1901
Practice Address - Country:US
Practice Address - Phone:718-940-0400
Practice Address - Fax:718-940-8327
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY181472207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01463432Medicaid
NY181472OtherHIP
NY181472-A18OtherHEALTH FIRST
NY10466OtherELDER PLAN
NY431742NOtherCIGNA
NY604058OtherAETNA US HEALTHCARE
NY2599775OtherGHI
NY264700101OtherHEALTH PLUS
NYP481609OtherOXFORD
NY010AZ1OtherBLUE CROSS
NY181472-A18OtherHEALTH FIRST
NY010AZ1OtherBLUE CROSS