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Individual

MARY VICTORIOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
143 NORTH ST STE 2, AUBURN, NY 13021-1852
(315) 252-5028
(315) 252-1587
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7011
(315) 255-7099

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
795713
NY
176B00000X
Midwife
Primary
002322
NY
367A00000X
Advanced Practice Midwife
Primary
002322
NY

Other

Enumeration date
08/13/2020
Last updated
01/16/2026
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