Individual
ANNA VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
141 EL CAMINO LOOP, STATEN ISLAND, NY 10309-2852
(917) 370-1834
Mailing address
141 EL CAMINO LOOP, STATEN ISLAND, NY 10309-2852
(917) 370-1834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713364
NY
Other
Enumeration date
01/17/2024
Last updated
01/18/2024
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