Provider Demographics
NPI:1083953483
Name:FLECK, VALERIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:FLECK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3242 33RD ST
Mailing Address - Street 2:APT E7
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2158
Mailing Address - Country:US
Mailing Address - Phone:516-849-0982
Mailing Address - Fax:
Practice Address - Street 1:3242 33RD ST
Practice Address - Street 2:APT E7
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-2158
Practice Address - Country:US
Practice Address - Phone:516-849-0982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist