Individual
MR. VICTOR ELIAS ADJEWODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10989 204TH ST, SAINT ALBANS, NY 11412-1336
(917) 600-8466
Mailing address
13445 166TH PL APT 5A, JAMAICA, NY 11434-3805
(917) 600-8466
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
487924-1
NY
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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