Valastro, Peter Joseph

Valastro, Peter Joseph is an sole proprietor health care provider with primary practice located at 37 Everts Ave , Queensbury NY 12804-2040. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Valastro, Peter Joseph can be contacted via phone (518) 793-4700.

Contact Information

Primary practice address
37 Everts Ave Queensbury NY 12804-2040
Phone: (518) 793-4700
Fax: (518) 793-6325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 704435 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403526 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403526-01 New York

Profile Details

NPI number 1811529415
LBN Legal business name Valastro, Peter Joseph
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2020
Last updated Mar 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811529415 NPPES
New York MEDICAID 06428115

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