Provider Demographics
NPI:1457649386
Name:VALENTINI, SUSANNA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SUSANNA
Middle Name:
Last Name:VALENTINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EAST 46TH STREET
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-758-3939
Mailing Address - Fax:212-758-4244
Practice Address - Street 1:20 EAST 46TH STREET
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-758-3939
Practice Address - Fax:212-758-4244
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277903207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine