| Victory Medicine Pc | |
|
25 Victory Blvd 2nd Floor Staten Island NY 10301-2905 | |
| (718) 815-7246 | |
| (516) 706-1085 |
| Full Name | Victory Medicine Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neuromuscular Medicine |
| Location | 25 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Depika Bajaj (DIRECTOR) |
| Authorized Official Contact | 9178152299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Medicine Pc 25 Victory Blvd 2nd Floor Staten Island NY 10301-2905 Ph: (718) 815-7246 | Victory Medicine Pc 25 Victory Blvd 2nd Floor Staten Island NY 10301-2905 Ph: (718) 815-7246 |
| NPI Number | 1730331141 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730331141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | 148054 (New York) | Primary |
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