Baker Victory Healthcare Center
NPI #1245095413 in Lackawanna, New York
Provider Information
- NPI Number
- 1245095413
- Entity Type
- Organization
- Organization Name
- Baker Victory Healthcare Center
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Feb 16, 2024
- Last Updated
- Mar 25, 2024
Practice Location
- Address
- 790 RIDGE ROAD 2ND FLOOR
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218
- Phone
- (716) 828-7586
Authorized Official
- Name
- SHEILA RENA HUNT
- Title
- CHIEF PROGRAM OFFICER
- Phone
- (716) 828-9699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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