Baker Victory
NPI #1982969465 in Lackawanna, New York
Provider Information
- NPI Number
- 1982969465
- Entity Type
- Organization
- Organization Name
- Baker Victory
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 10, 2012
- Last Updated
- Jul 10, 2012
Practice Location
- Address
- 697 RIDGE RD
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1500
- Phone
- (716) 822-4781
Authorized Official
- Name
- JENNIFER POVINELLI
- Title
- SPECIAL EDUCATION THERAPIST
- Phone
- (716) 909-5662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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