NPI 1922845007

Victory Medical PLLC

Organisation Plastic Surgery Physician Staten Island, NY

Practice location

Address: 2372 Victory Blvd, Staten Island, NY 10314-6607
Phone: (781) 761-3700
Fax: (718) 698-3090

Authorised official

Name: Michael J Lacqua
Title: Owner
Phone: (781) 761-3700

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in New York →

Registry record

NPI: 1922845007
Entity type: Organization
NPI issued: 15 Jul 2024
Record last updated: 15 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.