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VICTORY MEDICINE PC NPI 1730331141


NPI Information

NPI: 1730331141
Provider Name: VICTORY MEDICINE PC
Classification: Psychiatry & Neurology - 2084N0008X
Entity Type: Organization

Specialization: Neuromuscular Medicine

Address:
25 VICTORY BLVD
2ND FLOOR
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 815-7246
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VICTORY MEDICINE PC is a neuromuscular medicine psychiatry neurology in Staten Island, NY. The provider is a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). VICTORY MEDICINE PC NPI is 1730331141. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 VICTORY BLVD
2ND FLOOR
STATEN ISLAND, NY
ZIP 10301-905
Phone: (718) 815-7246
Fax: (516) 706-1085

The provider's authorized official is Depika Bajaj .
The authorized official title is Director and has the following contact phone number (917) 815-2299.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0008XPsychiatry & NeurologyNeuromuscular Medicine148054NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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