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1912223280
VICTORY MEDICAL GROUP PLLC
STATEN ISLAND, NY
NPI
1912223280
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Entity Type
Organization
Authorized Contact
OMAR KLOBOCISTA
Medical Doctor
347-698-0710
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 255828)
Enumeration Date
2010-04-12
Last Update Date
2022-01-12
Business Address
VICTORY MEDICAL GROUP PLLC
220 VICTORY BLVD
STATEN ISLAND, NY 10301-2919
Phone number: 718-447-1080
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Mailing Address
VICTORY MEDICAL GROUP PLLC
220 VICTORY BLVD
STATEN ISLAND, NY 10301-2919
Phone number: 718-447-1080
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