National Provider Identifier

Victoria Banghart

Victoria Banghart is listed in the NPPES registry with a primary specialty of Physician Assistant in Pittsford, NY and a listed phone number of (585) 402-8610.

NPI 1790410595Pittsford, NYPhysician Assistant

Profile Overview

NPI
1790410595
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 18, 2022
Last Updated
July 19, 2022

Practice Location

  • 485 Thornell RD
  • Pittsford, NY 14534-9641

Phone: (585) 402-8610

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1790410595
Entity Type
Individual
Last Name
Banghart
First Name
Victoria
Mailing Street Address
485 Thornell RD
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-9641
Mailing Country
US
Mailing Phone
(585) 402-8610
Practice Street Address
485 Thornell RD
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534-9641
Practice Country
US
Practice Phone
(585) 402-8610
Enumeration Date
July 18, 2022
Last Updated
July 19, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
July 19, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)