33D2179355 CLIA NUMBER - VICTORY MEDICAL ASSOCIATES PC

Laboratory Demographics

CLIA Number: 33D2179355

Facility Name: VICTORY MEDICAL ASSOCIATES PC

Facility Address:
129 CENTRAL PARK NORTH
NEW YORK, NY
ZIP 10026
Get Directions

Facility Phone Number: 917 599-9655

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902460124

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	33D2179355
LAB Type	Physician Office
Facility Name	VICTORY MEDICAL ASSOCIATES PC
Street	129 CENTRAL PARK NORTH
City	NEW YORK
State	NY
ZIP	10026
Phone	917 599-9655
CertificateType	4
CertificateEffectiveDate	11/9/2022
CertificateExpirationDate	11/8/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024