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Individual

DR. VICTORIA MINER MICHAELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6 WELLNESS WAY STE 113, LATHAM, NY 12110-2142
(518) 782-3899
(518) 782-3884
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
229241
NY
207RR0500X
Rheumatology Physician
Primary
229241
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02493194
NY
Enumeration date
10/05/2006
Last updated
03/30/2026
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