Individual
VIRGILIO C VICTORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 EVERETT RD, ALBANY, NY 12205
(518) 453-2206
(518) 453-2209
Mailing address
105 EVERETT ROAD, ALBANY, NY 12205
(518) 453-2206
(518) 453-2209
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
115869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00535075
—
NY
Enumeration date
08/04/2006
Last updated
07/08/2010
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