Provider Demographics
NPI:1275811424
Name:ROBERT A. VALINOTI, DC, PC
Entity Type:Organization
Organization Name:ROBERT A. VALINOTI, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:VALINOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-667-4141
Mailing Address - Street 1:3010 AMBOY ROAD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2077
Mailing Address - Country:US
Mailing Address - Phone:718-667-4141
Mailing Address - Fax:718-667-4158
Practice Address - Street 1:3010 AMBOY ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2077
Practice Address - Country:US
Practice Address - Phone:718-667-4141
Practice Address - Fax:718-667-4158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT96062Medicare UPIN