VICTORY MEDICINE PC NPI 1730331141

NPI Information

  • NPI: 1730331141
  • Provider Name: VICTORY MEDICINE PC
  • Classification: Psychiatry & Neurology - 2084N0008X
  • Specialization: Neuromuscular Medicine
  • Entity Type: Organization
  • Address: 25 VICTORY BLVD
    2ND FLOOR
    STATEN ISLAND, NY
    ZIP 10301
  • Phone: (718) 815-7246

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0008XPsychiatry & NeurologyNeuromuscular Medicine148054NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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