Provider Demographics
NPI:1043842180
Name:DUNNE, VICTORIA PATRICIA (LMT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:PATRICIA
Last Name:DUNNE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 N VILLAGE AVE STE 128
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3763
Mailing Address - Country:US
Mailing Address - Phone:516-164-2222
Mailing Address - Fax:
Practice Address - Street 1:165 N. VILLAGE AVE SUITE 128
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTER
Practice Address - State:NY
Practice Address - Zip Code:11570-1157
Practice Address - Country:US
Practice Address - Phone:516-164-2222
Practice Address - Fax:516-765-3957
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024789-01225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty