Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 240824 | NY |
NPI | 1063654994 |
---|---|
Provider Name | Dr. Valerie Michelle Oram |
First Address | New York, NY 10016-4911 |
Second Address | New York, NY 10016-4911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2009 |
Last Update Date | 23/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00506318 | MEDICAID GROUP NUMBER (01) | NY |
03135802 | (05) | NY |
A400015635 | MEDICARE PTAN (01) | NY |
A400040610 | MEDICARE PTAN (01) | NY |
P00788628 | RR MEDICARE (01) | NY |