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NPI Code Detail

MEDICARE: ROSE LISANO VALENTINO NP

MEDICARE:   ROSE  LISANO VALENTINO  NP
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
1363LF0000XFamily Nurse PractitionerF332607NY

General Provider Information

NPI Number : 1265435127
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE LISANO VALENTINO NP
Provider Business Mailing Address
First Line : 7074 PARCELL RD
Second Line :
City : AUBURN
State : NY
Zip : 13021-9269
Country : US
Telephone Number : 315-255-3140
Fax Number :
Provider Business Practice Location Address
First Line : 37 W GARDEN ST
Second Line : STE 132
City : AUBURN
State : NY
Zip : 13021-2662
Country : US
Telephone Number : 315-255-0606
Fax Number : 315-255-6863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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Directions to “ ROSE LISANO VALENTINO NP” Practice Location

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