Organization
VICTORY PODIATRY ASSOCIATE PLLC
Active
Other names
Victory Podiatry Associates pllc
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS NANCY MERLINO (DPM)
(718) 761-6665
Entity
Organization
Contact information
Practice address
2305 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 761-6665
(718) 761-3074
Mailing address
2305 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 761-6665
(718) 761-3074
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002642
NY
Other
Enumeration date
11/13/2006
Last updated
01/08/2019
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