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NPI Code Detail

MEDICARE: ABIOLA A VICTOR

MEDICARE: ABIOLA A VICTOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse708504NY

General Provider Information

NPI Number : 1447088992
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIOLA A VICTOR
Provider Business Mailing Address
First Line : 24933 148TH RD
Second Line :
City : ROSEDALE
State : NY
Zip : 11422-2711
Country : US
Telephone Number : 718-581-6211
Fax Number :
Provider Business Practice Location Address
First Line : 443 RIVER RD
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1914
Country : US
Telephone Number : 732-565-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2024
Last Update Date : 07/25/2024

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Directions to “ ABIOLA A VICTOR ” Practice Location

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