MEDICARE: THOMAS E. COUCH, DPM, D. JOEL VALENTINI, DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	0027761	NY

General Provider Information

NPI Number	:	1134174972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS E. COUCH, DPM, D. JOEL VALENTINI, DPM

Provider Business Mailing Address
First Line	:	89 S LAKE AVE
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-1103
Country	:	US
Telephone Number	:	518-462-5371
Fax Number	:	518-462-2379

Provider Business Practice Location Address
First Line	:	89 S LAKE AVE
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-1103
Country	:	US
Telephone Number	:	518-462-5371
Fax Number	:	518-462-2379

Authorized Official
Title or Position	:	MD/PARTNER
Name	:	DR. D JOEL VALENTINI
Credential	:	M.D.
Telephone Number	:	518-462-5371

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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