Individual
COLIN VALENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 EAST MAIN ST, MORRISVILLE, NY 13408
(315) 684-3171
(315) 684-7164
Mailing address
PO BOX 237, MORRISVILLE, NY 13408-0237
(315) 684-3171
(315) 684-7164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055671
NYS LICENSE
NY
Enumeration date
07/12/2011
Last updated
06/14/2020
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