Provider Demographics
NPI:1699488346
Name:CONTRERAS, VICTORIA D
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:D
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VICTORIACONTRERAS88@YAHOO.COM
Mailing Address - Street 2:65 PRINCE LN
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590
Mailing Address - Country:US
Mailing Address - Phone:646-696-5115
Mailing Address - Fax:
Practice Address - Street 1:65 PRINCE LN
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6243
Practice Address - Country:US
Practice Address - Phone:646-696-5115
Practice Address - Fax:718-631-1314
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator