=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598933640
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET MARIE VALENTINO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2008
-----------------------------------------------------
Last Update Date | 02/12/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2136 BARTOW AVE
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10475-4615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-320-2904
-----------------------------------------------------
Fax | 718-379-9565
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8624 253RD ST
-----------------------------------------------------
City | BELLEROSE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11426-2412
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-347-6302
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 040163
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------