Provider Demographics
NPI:1871324194
Name:VALENTI, NICHOLAS C (RD,RDN)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:C
Last Name:VALENTI
Suffix:
Gender:M
Credentials:RD,RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4440
Mailing Address - Country:US
Mailing Address - Phone:631-873-6292
Mailing Address - Fax:
Practice Address - Street 1:26 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-4440
Practice Address - Country:US
Practice Address - Phone:631-873-6292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered