Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pleasant Valley Pediatric Medicine, PLLC

Organization Primary Care Clinic/Center · NPI 1639954464

Pleasant Valley Pediatric Medicine, PLLC is a Primary Care Clinic/Center in Pleasant Valley, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1539 Main St Unit D #192
Pleasant Valley, NY 12569-0192
Phone: (845) 723-4499
Fax: (845) 723-4196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1639954464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Sobrin — Owner · (845) 723-4499
NPI enumeratedAugust 29, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023
Mailing addressPo Box 192, Pleasant Valley, NY 12569-0192