Provider Demographics
NPI:1689080160
Name:ADAMS, VICTORIA L (NP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1250 BROADWAY
Mailing Address - Street 2:17TH FLOOR, ESPRIT MEDICAL CARE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3701
Mailing Address - Country:US
Mailing Address - Phone:917-455-1844
Mailing Address - Fax:
Practice Address - Street 1:28 VALLEY RD # 148
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2709
Practice Address - Country:US
Practice Address - Phone:973-707-3911
Practice Address - Fax:201-918-4037
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY337937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily