Provider Demographics
NPI:1699385609
Name:LOPATA, VALERIE E (PI)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:E
Last Name:LOPATA
Suffix:
Gender:F
Credentials:PI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:NY
Mailing Address - Zip Code:13492-2811
Mailing Address - Country:US
Mailing Address - Phone:315-796-7870
Mailing Address - Fax:
Practice Address - Street 1:2615 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-6230
Practice Address - Country:US
Practice Address - Phone:315-796-7870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist