Basic Information
Provider Information
NPI: 1962769331
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAUVE
FirstName: VALERIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APN, FNP
OtherOrganizationName:  
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Mailing Information
Address1: 55 WATER STREET 2ND FLOOR CRED DEPT
Address2:  
City: NEW YORK
State: NY
PostalCode: 100410004
CountryCode: US
TelephoneNumber: 6466802888
FaxNumber: 5165425556
Practice Location
Address1: 215 EAST 95TH STREET
Address2:  
City: NEW YORK
State: NY
PostalCode: 101284007
CountryCode: US
TelephoneNumber: 2129968000
FaxNumber: 2124233127
Other Information
ProviderEnumerationDate: 04/23/2012
LastUpdateDate: 09/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SF0001X16467TNN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
363LF0000XF344498NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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