Individual
MS. VICTORIA DAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15610 BAISLEY BLVD, JAMAICA, NY 11434-2821
(929) 420-1893
Mailing address
720 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7002
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
003085
NY
221700000X
Art Therapist
—
—
Other
Enumeration date
01/08/2022
Last updated
02/25/2025
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