VICTORY MEDICAL PLLC
Radiology at Victory Blvd, Staten Island, NY

License number
New York 192446
Category
Medical Practice
Type
Plastic Surgery
License number
New York 192446
Category
Radiology
Type
Surgery of the Hand
Owner
Name: MICHAEL JUDE LACQUA M.D.
Title: MEDICAL DOCTOR
Phone: (718) 761-3700
Address
Address
2372 Victory Blvd, Staten Island, NY 10314
National Provider ID: 1013348689
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VICTORY MEDICAL PLLC at bizstanding.com

VICTORY MEDICAL, PLLC

2372 Victory Blvd, Staten Island, NY 10314

Registration:
Aug 22, 2013
State ID:
4449651
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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