Provider Demographics
NPI:1245033026
Name:FEDONYUK, VALENTINA (MS ED)
Entity type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:FEDONYUK
Suffix:
Gender:
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 GRAVESEND NECK RD APT 1E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5566
Mailing Address - Country:US
Mailing Address - Phone:917-635-2536
Mailing Address - Fax:
Practice Address - Street 1:2571 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3585
Practice Address - Country:US
Practice Address - Phone:917-635-2536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist