Healthcare Provider Details

I. General information

NPI: 1316987258
Provider Name (Legal Business Name): FRANK J VALENTE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 MADISON AVE RM 803
NEW YORK NY
10017-1107
US

IV. Provider business mailing address

32 BAY SHORE RD
WEST ISLIP NY
11795-1031
US

V. Phone/Fax

Practice location:
  • Phone: 917-338-7917
  • Fax: 212-319-0435
Mailing address:
  • Phone: 516-865-7199
  • Fax: 631-242-1895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberX010187-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: