Individual
VICTORIA FAVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NYCPS
Contact information
Practice address
11 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
Mailing address
11 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYSCPS-P-12169
NY
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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