Viola Vallone

Individual provider Active NPI Registered Nurse · Middleport, NY

NPI 1053569558 · NPPES record last updated Sep 9, 2008

Key facts

NPI
1053569558
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
358867-1 (NY)
Practice address
4355 Peet St
Middleport, NY 14105-9607
Phone
(716) 735-3785
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
358867-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 358867-1 NY Yes

Addresses

Primary practice location

4355 Peet St
Middleport, NY 14105-9607

Mailing address

4355 Peet St
Middleport, NY 14105-9607
Phone (716) 735-3785

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2008.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1053569558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 PEET ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141059607",
            "telephone_number": "716-735-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 PEET ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141059607",
            "telephone_number": "716-735-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLONE",
        "first_name": "VIOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "358867-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleport, NY

All providers in Middleport, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.