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Organization
VICTORY PODIATRY ASSOCIATE PLLC
Active
Organization
VICTORY PODIATRY ASSOCIATE PLLC
Active
Other names
Victory Podiatry Associates pllc
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS NANCY MERLINO (DPM)
(718) 761-6665
Entity
Organization
Contact information
Practice address
2305 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 761-6665
(718) 761-3074
Mailing address
2305 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 761-6665
(718) 761-3074
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002642
NY
Other
Enumeration date
11/13/2006
Last updated
01/08/2019
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