Provider Demographics
NPI:1629344742
Name:HULTON, VICTORIA A (RN,)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:A
Last Name:HULTON
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 1:1599 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:N MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2252
Mailing Address - Country:US
Mailing Address - Phone:516-992-3000
Mailing Address - Fax:
Practice Address - Street 1:1599 PARK AVE
Practice Address - Street 2:
Practice Address - City:N MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2252
Practice Address - Country:US
Practice Address - Phone:516-992-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY591388-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse