| Doctor Name: | MS. VICTORIA HELEN AGRESTA |
| NPI Number: | 1063514214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 000567 |
| Business Practice Address: | 123 Dixon Rd Queensbury, NY - 128042133 |
| Business Phone Number: | 5187989187 |
| Business Fax Number: | |
| Mailing Address: | 15 Wayne Ct, QUEENSBURY |
| State: | NY |
| Postal Code: | 128049108 |
| Phone Number: | 5187933971 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000567 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |