Provider Demographics
NPI:1720011133
Name:VICTORY EMERGENCY PHYSICIANS, PC
Entity Type:Organization
Organization Name:VICTORY EMERGENCY PHYSICIANS, PC
Other - Org Name:VICTORY EMERGENCY PHYSICIANS, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR/ PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLASHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-563-2497
Mailing Address - Street 1:29 W 34TH ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3007
Mailing Address - Country:US
Mailing Address - Phone:212-563-2497
Mailing Address - Fax:212-563-0605
Practice Address - Street 1:699 92ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3619
Practice Address - Country:US
Practice Address - Phone:212-563-2497
Practice Address - Fax:212-563-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Not Answered207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEY931Medicare ID - Type UnspecifiedEMPIRE MEDICARE