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General NPI Number Information
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NPI Number | 1073691242
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Entity Type | Organization
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Legal Business Name | D. JOEL VALENTINI
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 500 FEDERAL ST STE 601
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City | TROY
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State | NY
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Zip | 12180-2832
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Country | US
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Telephone | 518-272-0881
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Fax | 518-279-7413
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Provider Business Mailing Address
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Address Line | PO BOX 455
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City | TROY
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State | NY
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Zip | 12181-0455
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Country | US
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Telephone | 518-272-0881
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Fax | 518-272-0965
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Authorized Official
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Title or Position | DPM/OWNER
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Name | DR. D. JOEL VALENTINI
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Credential | DPM
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Telephone | 518-272-0881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 002776-1
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License Number State | NY
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