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NPI Code Detail

MEDICARE: MS. VICTORIA VEGA LCSW

MEDICARE: MS. VICTORIA VEGA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker036404NY

General Provider Information

NPI Number : 1225208499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICTORIA VEGA LCSW
Provider Business Mailing Address
First Line : 7609 34TH AVE
Second Line : APT. 512
City : JACKSON HEIGHTS
State : NY
Zip : 11372-2271
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 796H DREW ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-4704
Country : US
Telephone Number : 718-235-3100
Fax Number : 718-277-0822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2008
Last Update Date : 03/05/2008

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Directions to “ MS. VICTORIA VEGA LCSW” Practice Location

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