Healthcare Provider Details

I. General information

NPI: 1972430387
Provider Name (Legal Business Name): VICTORIA CASERTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9114 37TH AVE
JACKSON HEIGHTS NY
11372-7920
US

IV. Provider business mailing address

3127 36TH ST APT 1
ASTORIA NY
11106-1001
US

V. Phone/Fax

Practice location:
  • Phone: 718-779-1600
  • Fax:
Mailing address:
  • Phone: 914-329-0449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: