MEDICARE: VIKTORYA SNKHCHYAN

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
1	208D00000X	General Practice Physician	P104040	NY

General Provider Information

NPI Number	:	1811537467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKTORYA SNKHCHYAN

Provider Business Mailing Address
First Line	:	2299 E 13TH ST APT 3B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4350
Country	:	US
Telephone Number	:	917-208-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 HONE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1406
Country	:	US
Telephone Number	:	516-499-9016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2020
Last Update Date	:	01/12/2020

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