Healthcare Provider Details

I. General information

NPI: 1033311741
Provider Name (Legal Business Name): DAVID J. VALVO, DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ERIE CANAL DR STE G
ROCHESTER NY
14626-4602
US

IV. Provider business mailing address

31 ERIE CANAL DR STE G
ROCHESTER NY
14626-4602
US

V. Phone/Fax

Practice location:
  • Phone: 585-720-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005327
License Number StateNY

VIII. Authorized Official

Name: DR. DAVID J VALVO
Title or Position: PRESIDENT
Credential: DPM
Phone: 585-720-0400