VICTOR VICENTE


Address: 1155 Broadway, First Floor, Brooklyn, NY 11221-3025
Phone: 7182490735

VICTOR VICENTE (NPI# 1225158082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225158082
Entity Type Individual
Full Name VICTOR VICENTE
Credential M.D.
Practice Address 1155 Broadway
First Floor
Brooklyn
NY 11221-3025
Practice Telephone 7182490735
Mailing Telephone 7182490735
Enumeration Date 2007-03-29
Last Update Date 2012-02-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 191197 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01599297 05

Office Location

Street Address 1155 BROADWAY
FIRST FLOOR
City BROOKLYN
State NY
Zip Code 11221-3025

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11221

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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