Healthcare Provider Details

I. General information

NPI: 1285069245
Provider Name (Legal Business Name): VICTORIA HELEN TANCSAK L.P.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA HELEN GUADAGNO L.P.C.

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 TALL OAKS DR
BRICK NJ
08724-5114
US

IV. Provider business mailing address

734 TALL OAKS DR
BRICK NJ
08724-5114
US

V. Phone/Fax

Practice location:
  • Phone: 732-314-6440
  • Fax:
Mailing address:
  • Phone: 732-314-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number37AC00176900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: