| Organization Name: | VICTORIA VAMOS, NURSE PRACTITIONER IN FAMILY HEALTH, P.C. |
| NPI Number: | 1104202993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTORIA VAMOS (MEDICAL DIRECTOR) |
| Mailing Address: | 751 Coates Ave Suite 31 Holbrook |
| State: | NY US |
| Postal Code: | 117416039 |
| Phone Number: | 6315800000 |
| Fax Number: | 6315800001 |
| NPI Enumeration Date: | 08/04/2015 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | F333441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |