Healthcare Provider Details

I. General information

NPI: 1285540203
Provider Name (Legal Business Name): VICTOR ASSOCIATION OF CULTURAL AND PERFORMING ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 STATE ROUTE 332
FARMINGTON NY
14425-9604
US

IV. Provider business mailing address

1622 STATE ROUTE 332
FARMINGTON NY
14425-9604
US

V. Phone/Fax

Practice location:
  • Phone: 585-398-0220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LORENE BENSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 585-398-0220