Provider Demographics
NPI:1811060684
Name:VALLEY SURGICAL, PLLC
Entity type:Organization
Organization Name:VALLEY SURGICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NARASIMHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-245-3543
Mailing Address - Street 1:2000 MAPLE HILL STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:YORKTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10598
Mailing Address - Country:US
Mailing Address - Phone:914-245-3543
Mailing Address - Fax:914-245-0214
Practice Address - Street 1:2000 MAPLE HILL ST.
Practice Address - Street 2:SUITE 101
Practice Address - City:YORKTOWN
Practice Address - State:NY
Practice Address - Zip Code:10598
Practice Address - Country:US
Practice Address - Phone:914-245-3543
Practice Address - Fax:914-245-0214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00909811Medicaid
NYA64179Medicare UPIN
NY00909811Medicaid