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VICTORY NP IN PSYCHIATRY PC NPI 1093178428


NPI Information

NPI: 1093178428
Provider Name: VICTORY NP IN PSYCHIATRY, PC

Former Legal Business Name: N/A

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2962 WICKHAM AVE
BRONX, NY
ZIP 10469
Phone: (646) 384-0252
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VICTORY NP IN PSYCHIATRY, PC is a psychiatric/mental health nurse practitioner in Bronx, NY. VICTORY NP IN PSYCHIATRY, PC NPI is 1093178428. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is N/a.

The provider's business location address is:

2962 WICKHAM AVE
BRONX, NY
ZIP 10469-324
Phone: (646) 384-0252

The provider's authorized official is Godwin Mcmukoro Okpomo .
The authorized official title is Clinical Director and has the following contact phone number (646) 384-0252.

The enumeration date for this NPI number is 4/2/2016 and was last updated on 4/2/2016.


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
1363LP0808XNurse PractitionerPsychiatric/Mental Health401152NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11043696750OTHERNEW YORKNPI NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.