Healthcare Provider Details

I. General information

NPI: 1023936549
Provider Name (Legal Business Name): VICTORIA C PARELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

226 MCBAINE AVE
STATEN ISLAND NY
10309-1611
US

IV. Provider business mailing address

888 VETERANS HWY
HAUPPAUGE NY
11788-2950
US

V. Phone/Fax

Practice location:
  • Phone: 718-354-0372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: