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VICTORY PODIATRY ASSOCIATE PLLC NPI 1952472516


NPI Information

NPI: 1952472516
Provider Name: VICTORY PODIATRY ASSOCIATE PLLC

Other Name: VICTORY PODIATRY ASSOCIATES PLLC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2305 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 761-6665
Get Directions

VICTORY PODIATRY ASSOCIATE PLLC is a podiatrist in Staten Island, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. VICTORY PODIATRY ASSOCIATE PLLC NPI is 1952472516. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Victory Podiatry Associates Pllc.

The provider's business location address is:

2305 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314-623
Phone: (718) 761-6665
Fax: (718) 761-3074

The provider's authorized official is Phyllis Nancy Merlino .
The authorized official title is Dpm and has the following contact phone number (718) 761-6665.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 1/8/2019.


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
1213E00000XPodiatristN002642NEW 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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