Healthcare Provider Details

I. General information

NPI: 1144124538
Provider Name (Legal Business Name): VICTORIA PEZZINO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2613 W HENRIETTA RD
ROCHESTER NY
14623-2327
US

IV. Provider business mailing address

24 VISCOUNT DR
WILLIAMSVILLE NY
14221-1767
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-3161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number028320-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: