Provider Demographics
NPI:1164065660
Name:ELPERIN, VALENTINA (NP-C)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:ELPERIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 VICTORY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3621
Mailing Address - Country:US
Mailing Address - Phone:718-818-1161
Mailing Address - Fax:
Practice Address - Street 1:1161 VICTORY BLVD STE A
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3621
Practice Address - Country:US
Practice Address - Phone:718-818-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306612-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health