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Organization
VICTORY BEHAVIORAL HEALTH INC
Active
Organization
VICTORY BEHAVIORAL HEALTH INC
Active
Other names
Cardio Behavioral Health The Attention Deficit Worshop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J WAKSCHAL PHD (PRES CEO)
(718) 477-0228
Entity
Organization
Contact information
Practice address
2291 VICTORY BOULEVARD, STATEN ISLAND, NY 10314
(718) 477-0228
(718) 477-0228
Mailing address
2291 VICTORY BOULEVARD, STATEN ISLAND, NY 10314
(718) 477-0228
(718) 477-0228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
16089
NY
103TC0700X
Clinical Psychologist
16089
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
16089
NY
Other
Enumeration date
08/03/2006
Last updated
09/11/2025
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