Provider Demographics
NPI:1902107717
Name:VALVO, ELAINE BETH (RD)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:BETH
Last Name:VALVO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 THORNCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1100
Mailing Address - Country:US
Mailing Address - Phone:716-361-9668
Mailing Address - Fax:
Practice Address - Street 1:514 THORNCLIFF RD
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14223-1100
Practice Address - Country:US
Practice Address - Phone:716-361-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY800130133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered