Healthcare Provider Details

I. General information

NPI: 1780163790
Provider Name (Legal Business Name): VALENTYNA OLEKSYUK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MUNSON ST
LE ROY NY
14482-8933
US

IV. Provider business mailing address

104 FORREST AVE
NARBERTH PA
19072-2215
US

V. Phone/Fax

Practice location:
  • Phone: 585-565-2998
  • Fax: 585-361-5139
Mailing address:
  • Phone: 585-312-5540
  • Fax: 585-361-5139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number431313
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: