Provider Demographics
NPI:1285027995
Name:PIANE, VICTORIA (MS, CPNP-PC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:PIANE
Suffix:
Gender:F
Credentials:MS, CPNP-PC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:JO-YEE
Other - Last Name:PIANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3959 BROADWAY FL CHC7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1559
Mailing Address - Country:US
Mailing Address - Phone:212-305-5122
Mailing Address - Fax:212-305-6103
Practice Address - Street 1:3959 BROADWAY FL CHC7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1559
Practice Address - Country:US
Practice Address - Phone:212-305-5122
Practice Address - Fax:212-305-6103
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00548100363LP0200X
NYF3826891363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics