Provider Demographics
NPI:1790334746
Name:MCCAFFREY, VICTORIA THERESA (PA)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:THERESA
Last Name:MCCAFFREY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:1582 LURTING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1510
Mailing Address - Country:US
Mailing Address - Phone:347-835-2794
Mailing Address - Fax:
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:718-920-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant