Healthcare Provider Details

I. General information

NPI: 1952246506
Provider Name (Legal Business Name): VICTORIA ATTIANESE CRPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SEAVIEW AVE BSMT
STATEN ISLAND NY
10305-3401
US

IV. Provider business mailing address

450 SEAVIEW AVE BSMT
STATEN ISLAND NY
10305-3401
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-2812
  • Fax: 718-226-2998
Mailing address:
  • Phone: 718-226-2812
  • Fax: 718-226-2998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberCRPA-P-9754
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: