Individual provider · Type 1 NPI

Victoria Golovatenko

Surgical Physician Assistant · Bronx, NY

NPI number 1922438142 Active

Practice location

234 E 149th St
Bronx, NY 10451-5504

Call (718) 579-5900 Map

Mailing address

1502 W 5th St Apt 2C
Brooklyn, NY 11204-4919

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X017236 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1922438142

Victoria Golovatenko's National Provider Identifier is 1922438142, issued on Nov 25, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Nov 25, 2013.