National Provider Identifier

Victoria Converse

Victoria Converse is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1821688276Victor, NYSpecialist

Profile Overview

NPI
1821688276
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 20, 2021
Last Updated
January 27, 2021

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 4077 Lakes Corners Rose Valley RD
  • Clyde, NY 14433-9628

Specialties

  • Specialist (174400000X)
Full Record
NPI
1821688276
Entity Type
Individual
Last Name
Converse
First Name
Victoria
Mailing Street Address
4077 Lakes Corners Rose Valley RD
Mailing City
Clyde
Mailing State
NY
Mailing ZIP Code
14433-9628
Mailing Country
US
Mailing Phone
(315) 398-3743
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
January 20, 2021
Last Updated
January 27, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)