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Organization
VICTORY MEDICAL SERVICES PLLC
Active
Organization
VICTORY MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASIF M AHMED MD (CEO)
(718) 815-1000
Entity
Organization
Contact information
Practice address
2285 VICTORY BLVD, STATEN ISLAND, NY 10314-6625
(718) 761-9319
(718) 815-8122
Mailing address
302 MANOR RD, STATEN ISLAND, NY 10314-2408
(718) 815-1000
(718) 815-8122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
236135
NY
Other
Enumeration date
12/19/2011
Last updated
04/19/2012
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