Provider Demographics
NPI:1891053674
Name:SOKOLIUK, VICTORIA (DO)
Entity type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:
Last Name:SOKOLIUK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:VITA
Other - Middle Name:
Other - Last Name:SOKOLIUK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:79 COLUMBIA GDNS
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-4060
Mailing Address - Country:US
Mailing Address - Phone:518-892-3056
Mailing Address - Fax:
Practice Address - Street 1:47 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-3095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287839207LP3000X, 207L00000X
NY63260390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program