Victory Internal Medicine, P.C. in Staten Island - Internal Medicine

Victory Internal Medicine, P.C. - NPI 1831129865

Victory Internal Medicine, P.C. is a Internal Medicine in Staten Island, New York. Victory Internal Medicine, P.C. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Victory Internal Medicine, P.C. is 1831129865. The last update date is 2008-04-20.

Victory Internal Medicine, P.C.'s current location address is 2315 Victory Blvd, Staten Island, New York. You can contact this provider via phone number 7184776900. The mailing address for Victory Internal Medicine, P.C. is 2315 Victory Blvd, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Victory Internal Medicine, P.C.
Address 2315 Victory Blvd, Staten Island, New York
Phone Number 7184776900
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wortman Shye
Credentials M.D.
Telephone Number 7184776900

NPI Number Detail

NPI Number 1831129865
Provider Enumeration Date 2006-07-04
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 2315 Victory Blvd
City Staten Island
State New York (NY)
Post Code 103146623
Phone Number 7184776900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 201641
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CJ9386 NY RAILROAD MEDICARE GROUP#
2294955 NY AETNA HMO GROUP#
7585094 NY AETNA PPO GROUP#

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FAQs about Victory Internal Medicine, P.C.

What is the unique 10-digit identifier code issued to Victory Internal Medicine, P.C. by the Centers for Medicare & Medicaid Services?

The Victory Internal Medicine, P.C. has been assigned the NPI (National Provider Identifier) 1831129865 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Victory Internal Medicine, P.C.?

The Victory Internal Medicine, P.C. is situated at 2315 Victory Blvd, in the city of Staten Island, state of NY, with the zip code 103146623.

What is Victory Internal Medicine, P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Victory Internal Medicine, P.C. is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

When did Victory Internal Medicine, P.C. receive its 1831129865 assignment?

The Victory Internal Medicine, P.C. was assigned its 1831129865 on 2006-07-04, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Victory Internal Medicine, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Victory Internal Medicine, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.

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