Provider Demographics
NPI:1043579196
Name:EPSTEIN, VICTORIA (MS, DO)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MS, DO
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:RUDENKO
Other - Last Name:EPSHTEYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:63 SHAKER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1080
Mailing Address - Country:US
Mailing Address - Phone:518-434-1042
Mailing Address - Fax:518-434-4327
Practice Address - Street 1:63 SHAKER RD STE 101
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204
Practice Address - Country:US
Practice Address - Phone:518-434-1042
Practice Address - Fax:518-434-4327
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279193-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology