Provider Demographics
NPI:1588553788
Name:VALLEY OAKS NP IN PSYCHIATRY PC
Entity type:Organization
Organization Name:VALLEY OAKS NP IN PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:NORBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-358-1297
Mailing Address - Street 1:138 OLIVER AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1626
Mailing Address - Country:US
Mailing Address - Phone:516-478-9200
Mailing Address - Fax:516-812-0021
Practice Address - Street 1:405 RXR PLAZA
Practice Address - Street 2:STE 405E, 4TH FLOOR
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11556
Practice Address - Country:US
Practice Address - Phone:516-478-9200
Practice Address - Fax:516-812-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center