Provider Demographics
NPI:1477274926
Name:VALENTIN HEALTHCARE SERVICES, NP IN ADULT HEALTH, PLLC
Entity Type:Organization
Organization Name:VALENTIN HEALTHCARE SERVICES, NP IN ADULT HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP ANP-C MSNE BSN-C
Authorized Official - Phone:516-444-7158
Mailing Address - Street 1:210 CHELSEA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-3933
Mailing Address - Country:US
Mailing Address - Phone:516-444-7158
Mailing Address - Fax:
Practice Address - Street 1:210 CHELSEA AVE
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-3933
Practice Address - Country:US
Practice Address - Phone:516-444-7158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5010893Medicaid