Provider Demographics
NPI:1629300918
Name:SCOTTO, VALENTINO JOHN (RPH)
Entity Type:Individual
Prefix:
First Name:VALENTINO
Middle Name:JOHN
Last Name:SCOTTO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 ROBINWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TOWNSHIP OF WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07676-4210
Mailing Address - Country:US
Mailing Address - Phone:201-664-8533
Mailing Address - Fax:718-331-3779
Practice Address - Street 1:7407 18TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5614
Practice Address - Country:US
Practice Address - Phone:718-331-5330
Practice Address - Fax:718-331-3779
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035835-1183500000X
NJ28R103258300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist