Baker Victory Healthcare Center

NPI #1619191855 in Lackawanna, New York

Provider Information

NPI Number: 1619191855
Entity Type: Organization
Organization Name: Baker Victory Healthcare Center
Primary Specialty: Dentist
Enumeration Date: Apr 12, 2007
Last Updated: Oct 30, 2015

Practice Location

Address: 790 RIDGE ROAD
City: Lackawanna
State: New York
ZIP Code: 14218-1696
Phone: (716) 828-9350

Authorized Official

Name: MRS. TERESE M. SCOFIDIO
Title: CHIEF EXECUTIVE OFFICER
Phone: (716) 828-9515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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