Provider Demographics
NPI:1093047987
Name:ZAMBRANO, VICTORIA A (AUD, BC-HIS)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:A
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:AUD, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4112 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5120
Mailing Address - Country:US
Mailing Address - Phone:718-252-4251
Mailing Address - Fax:
Practice Address - Street 1:4112 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5120
Practice Address - Country:US
Practice Address - Phone:718-252-4244
Practice Address - Fax:718-252-4251
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6465237600000X
NY002456231H00000X
NY14000019445231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist