Healthcare Provider Details

I. General information

NPI: 1083527741
Provider Name (Legal Business Name): VICTORIA FURLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 BROADWAY FL 21
NEW YORK NY
10018-9243
US

IV. Provider business mailing address

435 W 119TH ST APT 1G
NEW YORK NY
10027-7110
US

V. Phone/Fax

Practice location:
  • Phone: 203-957-1782
  • Fax:
Mailing address:
  • Phone: 203-957-1782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: