Individual provider · NPI-1

Victoria Bateman, NP

Nurse Practitioner, Family · Stony Brook, NY

NPI number1740060904
StatusActive
Last updated in NPPESOct 4, 2023

Details

NPI
1740060904
Entity type
Individual (NPI-1)
Name
Mrs. Victoria Bateman
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2023
Certification date
Oct 4, 2023
Last updated
Oct 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family352361NYYes

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Phone 631-689-8333

Mailing address

77 Rollstone Ave
West Sayville, NY 11796-1309

Phone 631-255-0564

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