VICTORY MEDICAL GROUP
Marriage and Family Therapists at Victory Blvd, Staten Island, NY

License number
New York 255828
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: OMAR KLOBOCISTA
Title: MD
Phone: (718) 447-1080
Address
Address
220 Victory Blvd, Staten Island, NY 10301
National Provider ID: 1912223280
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VICTORY MEDICAL GROUP PLLC

220 Victory Blvd, Staten Island, NY 10301

Industry:
Health/Allied Services
Doing business as:
Victory Medical Group
Registration:
Jan 28, 2010
State ID:
3905626
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Members:
Omar Klobocista (Family Practitioner, Medical Doctor, Principal),Mensur E. Klobocista (Physician Assistant),Michael K. Mansour (General Medical Practice),...

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