Victory Medical Pllc

LBN: Victory Medical Pllc
Victory Medical Pllc is an health care organization with primary practice located at 2372 Victory Blvd , Staten Island NY 10314-6607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Victory Medical Pllc can be contacted via phone (781) 761-3700, or through Lacqua, Michael J via phone (781) 761-3700.

Contact Information

Primary practice address
2372 Victory Blvd Staten Island NY 10314-6607
Phone: (781) 761-3700
Fax: (718) 698-3090
Website:
Map and Directions
Authorized official contact:
Name: Lacqua, Michael J Doctor of Medicine (MD)
Phone: (781) 761-3700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1922845007
LBN Legal business name Victory Medical Pllc
DBA Doing business as
Authorized official Lacqua, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2024
Last updated Jul 15th, 2024 - 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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