Provider Demographics
NPI:1548204241
Name:VALET, SCOTT BRENT (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:BRENT
Last Name:VALET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 GRAVES ST
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-1206
Mailing Address - Country:US
Mailing Address - Phone:585-637-3910
Mailing Address - Fax:
Practice Address - Street 1:18 GRAVES ST
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-1206
Practice Address - Country:US
Practice Address - Phone:585-637-3910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY134347207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology