Victory Medical Group Pllc

LBN: Victory Medical Group Pllc
Victory Medical Group Pllc is an health care organization with primary practice located at 220 Victory Blvd , Staten Island NY 10301-2919. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Victory Medical Group Pllc can be contacted via phone (718) 447-1080, or through Klobocista, Omar via phone (347) 698-0710.

Contact Information

Primary practice address
220 Victory Blvd Staten Island NY 10301-2919
Phone: (718) 447-1080
Fax: (718) 447-1559
Website:
Map and Directions
Authorized official contact:
Name: Klobocista, Omar Doctor of Medicine (MD)
Phone: (347) 698-0710

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 255828 New York

Profile Details

NPI number 1912223280
LBN Legal business name Victory Medical Group Pllc
DBA Doing business as
Authorized official Klobocista, Omar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2010
Last updated Jan 12th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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