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Individual

DR. JESSE MARTIN VICTORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
293987
NY
2086S0102X
Surgical Critical Care Physician
293987
NY
2086S0127X
Trauma Surgery Physician
293987
NY

Other

Enumeration date
04/18/2013
Last updated
12/26/2021
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