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Organization
VIRGILIO C VICTORIANO MD PC
Active
Organization
VIRGILIO C VICTORIANO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGILIO C VICTORIANO M.D. (PRESIDENT)
(518) 453-2206
Entity
Organization
Contact information
Practice address
105 EVERETT RD, ALBANY, NY 12205-1407
(518) 453-2206
(518) 453-2209
Mailing address
105 EVERETT RD, ALBANY, NY 12205-1407
(518) 453-2206
(518) 453-2209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
115869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000535075
—
NY
Enumeration date
04/19/2011
Last updated
04/19/2011
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