Provider Demographics
NPI:1508565656
Name:ZNAK, VIKTORIYA (RN)
Entity Type:Individual
Prefix:
First Name:VIKTORIYA
Middle Name:
Last Name:ZNAK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 CROPSEY AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6809
Mailing Address - Country:US
Mailing Address - Phone:917-400-7861
Mailing Address - Fax:
Practice Address - Street 1:2701 CROPSEY AVE APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6809
Practice Address - Country:US
Practice Address - Phone:917-400-7861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY492512163W00000X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No252Y00000XAgenciesEarly Intervention Provider Agency