Provider Demographics
NPI:1770598179
Name:LARAIN VALENTI, DC, PC
Entity type:Organization
Organization Name:LARAIN VALENTI, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARAIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VALENTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-731-0712
Mailing Address - Street 1:3000 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1381
Mailing Address - Country:US
Mailing Address - Phone:516-731-0712
Mailing Address - Fax:516-579-5078
Practice Address - Street 1:3000 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 304
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1381
Practice Address - Country:US
Practice Address - Phone:516-731-0712
Practice Address - Fax:516-579-5078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYXDWHE1Medicare PIN