Individual
VICTORIA MARIE ADIMANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1382 LANES MILL RD STE 201, LAKEWOOD, NJ 08701-3894
(732) 994-4242
(732) 363-5164
Mailing address
1498 CLOVE RD, STATEN ISLAND, NY 10301-4314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
349349
NY
363L00000X
Nurse Practitioner
Primary
26NJ15043400
NJ
Other
Enumeration date
04/28/2022
Last updated
05/19/2025
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