Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | X0060021 | NY |
NPI | 1265525349 |
---|---|
Provider Name | Dr. Jo-Anne Valenti |
First Address | Whitestone, NY 11357-1615 |
Second Address | Whitestone, NY 11357-1615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |