Individual
MS. MIA VALENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
195 INTREPID LN, SYRACUSE, NY 13205-2544
(315) 469-8700
Mailing address
4494 LAUDER LN, SKANEATELES, NY 13152-6402
(315) 420-6511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F354454
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F354454-01
NY
Other
Enumeration date
07/26/2024
Last updated
02/23/2026
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