Individual
JUSTIN ALLEN VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, ATC, LAT
Contact information
Practice address
4433 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 771-2220
Mailing address
PO BOX 273, DOWNSVILLE, NY 13755-0273
(607) 386-5772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004264
NY
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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