MR. PETER JOSEPH VALASTRO JR. (NPI# 1811529415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811529415 |
| Entity Type | Individual |
| Full Name | MR. PETER JOSEPH VALASTRO JR. |
| Credential | RN |
| Practice Address |
2452 Us Rt 9 Suite 206 Malta NY 12020 |
| Mailing Address |
2452 Us 9 Suite 206 Malta NY 12020 |
| Practice Telephone | 5182925433 |
| Practice Fax Number | 5188994930 |
| Mailing Telephone | 5182925433 |
| Mailing Fax Number | 5188994930 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
704435 | NY | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 84 Broad St, Glens Falls, NY 128014386 | 5182925433 | 5188994930 |
| Street Address |
2452 US RT 9 SUITE 206 |
| City | MALTA |
| State | NY |
| Zip Code | 12020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| 1386067601 | Saratoga Hospital | Internal Medicine | 510 Geyser Road, Ballston Spa, NY 12020 | 2014-01-22 |
| Find all providers in zip 12020 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1720688864 | Shayna Feuer | Registered Nurse | 275 Fort Washington Ave Apt 2a, New York, NY 10032-1234 | 2020-10-28 |
| 1932716297 | Sonia Somwar | Registered Nurse | 13163 Francis Lewis Blvd, Laurelton, NY 11413-1844 | 2020-09-29 |
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1912519059 | Anu Vazhappilly | Registered Nurse | 356 Central Park Ave Apt E3, Scarsdale, NY 10583-1363 | 2020-08-19 |
| 1336759430 | Christopher Colin Fish | Registered Nurse | 10 County Center Rd, White Plains, NY 10607-1537 | 2020-08-04 |
| 1265041172 | Samantha M Joanette | Registered Nurse | 71 Margaret Terrance Memorial Way, Akwesasne, NY 13655-3236 | 2020-07-27 |
| 1760009062 | Jake Hernandez | Registered Nurse | 12333 83rd Ave Apt 2601, Kew Gardens, NY 11415-3439 | 2020-07-02 |
| 1477178192 | Edith I Cline | Registered Nurse | 1204 E 223rd St, Bronx, NY 10466-5802 | 2020-06-09 |
| 1851913453 | Ekaterina Prokofieva | Registered Nurse | 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 | 2020-05-18 |
| 1295357986 | Sarah Elizabeth Elkin | Registered Nurse | 265 Cabrini Blvd Apt 3e, New York, NY 10040-3610 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.