VICTORIA MACK (NPI# 1972126266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972126266 |
Entity Type | Individual |
Full Name | VICTORIA MACK |
Credential | NP |
Practice Address |
33 Landing Rd S Rochester NY 14610-3161 |
Practice Telephone | 7164321270 |
Mailing Telephone | 7164321270 |
Enumeration Date | 2020-05-21 |
Last Update Date | 2020-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
383102 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538787858 | Victoria Mack | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-07-13 |
Street Address |
33 LANDING RD S |
City | ROCHESTER |
State | NY |
Zip Code | 14610-3161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417511122 | Marisa Volinsky | Social Worker | 2300 East Ave, Rochester, NY 14610 | 2019-04-28 |
1023396124 | Elissa Sara Strassman | Dietitian, Registered | 1441 East Avenue Suite 7d, Rochester, NY 14610 | 2011-07-25 |
1750695169 | Tracy Lee Pattison | Licensed Practical Nurse | 989 Blossom Road, Rochester, NY 14610 | 2010-07-28 |
1881926558 | Joshua Benjamin Rittenberg | Chiropractor | 1641 East Avenue, Rochester, NY 14610 | 2010-02-05 |
1922233584 | Patricia Renee Tolbert | Licensed Practical Nurse | 257 North Winton Road, Rochester, NY 14610 | 2009-05-26 |
1851556716 | Ann Marie Geyer | Registered Nurse | 62 Balsam Street, Rochester, NY 14610 | 2008-07-21 |
1871751289 | Ann Deborah Livingston-gagni | Licensed Practical Nurse | 158 Nunda Blvd, Rochester, NY 14610 | 2008-06-02 |
1659542652 | Charles F Coyle Jr Dpm | Podiatrist | 555 N Winton Rd, Rochester, NY 14610 | 2008-03-18 |
1588832638 | Paula Marie Moore | Registered Nurse | 381 Beresford Road, Rochester, NY 14610 | 2008-02-12 |
1902097314 | Rosamond Blakeslee | Registered Nurse | 107 San Gabriel Drive, Rochester, NY 14610 | 2007-08-09 |
Find all providers in zip 14610 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730749847 | Nicholas John Wodo | Nurse Practitioner | 601 Elmwood Ave Box 690, Rochester, NY 14642-0001 | 2019-06-20 |
1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
1205076122 | Panorama Pediatric Group, Rllp | Nurse Practitioner | 220 Linden Oaks Ste 200, Rochester, NY 14625-2839 | 2009-03-05 |
1932267721 | Amy Beth Realbuto | Nurse Practitioner | 451 E Henrietta Rd, 2nd Floor, Rochester, NY 14620-4629 | 2006-12-05 |
1396803169 | Melissa M Ryan | Nurse Practitioner | 601 Elmwood Ave Box 671, Rochester, NY 14642-0001 | 2006-12-05 |
1649345984 | Barbra Murante | Nurse Practitioner | 601 Elmwood Ave Rm 4-8123, Rochester, NY 14642-0001 | 2006-11-22 |
1730253808 | Paula Barbel | Nurse Practitioner | 451 E Henrietta Rd Fl 2, Rochester, NY 14620-4629 | 2006-11-20 |
1942372842 | Nancy Chevalier | Nurse Practitioner | 111 Westfall Road, Room 183, Rochester, NY 14692 | 2006-11-15 |
1215012521 | Patricia Ann Mccabe | Nurse Practitioner | 1850 Buffalo Rd, Suite 200 Genesis Pediatrics, Rochester, NY 14624-1502 | 2006-10-26 |
1558451500 | Barbara Peyser Mohrmann | Nurse Practitioner | 485 Clinton Ave N, Rochester, NY 14605-1817 | 2006-10-13 |
Find all providers in ROCHESTER |
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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.