Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 116613 | NY |
NPI | 1003812868 |
---|---|
Provider Name | William M Valenti |
First Address | Rochester, NY 14607-3632 |
Second Address | Rochester, NY 14607-3632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 01/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00586278 | (05) | NY |
B72281 | (02) |