Organization
BAKER VICTORY HEALTHCARE CENTER
Active
Organization
BAKER VICTORY HEALTHCARE CENTER
Active
Parent organization
BAKER VICTORY HEALTHCARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAKER VICTORY HEALTHCARE CENTER
Authorized official
AMY DESTRO (CREDENTIALING SPECIALIST)
(716) 343-5566
Entity
Organization
Contact information
Practice address
790 RIDGE RD FL 1, LACKAWANNA, NY 14218-1629
(716) 893-7337
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 343-5566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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