Basic Information
| Provider Information | |||||||||
| NPI: | 1376153668 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OJO | ||||||||
| FirstName: | VICTORIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10538 64TH RD APT 4J | ||||||||
| Address2: | |||||||||
| City: | FOREST HILLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113751626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3474446702 | ||||||||
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| Practice Location | |||||||||
| Address1: | 50 COURT STREET | ||||||||
| Address2: | 10TH FL, RM 1002 | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112014879 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2126955122 | ||||||||
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| ProviderEnumerationDate: | 08/03/2020 | ||||||||
| LastUpdateDate: | 08/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F345773 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.