Individual
JOANNA VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
3555 223RD ST, BAYSIDE, NY 11361-2236
(718) 428-5370
Mailing address
3555 223RD ST, BAYSIDE, NY 11361-2236
(718) 428-5370
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622050221
NYS DEPARTMENT OF EDUCATION
NY
01
—
1888060251
NYS DEPARTMENT OF EDUCATION
NY
Enumeration date
10/17/2022
Last updated
05/07/2025
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