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1922845007
VICTORY MEDICAL PLLC
STATEN ISLAND, NY
NPI
1922845007
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Entity Type
Organization
Authorized Contact
MICHAEL J LACQUA
Owner
781-761-3700
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
VICTORY MEDICAL PLLC
2372 VICTORY BLVD
STATEN ISLAND, NY 10314-6607
Phone number: 781-761-3700
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Mailing Address
VICTORY MEDICAL PLLC
2372 VICTORY BLVD
STATEN ISLAND, NY 10314-6607
Phone number: 781-761-3700
Copy
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