Provider Demographics
NPI:1831497791
Name:KAMARA, VICTORIA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W 142ND ST
Mailing Address - Street 2:APT. 5M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1104
Mailing Address - Country:US
Mailing Address - Phone:212-368-9035
Mailing Address - Fax:
Practice Address - Street 1:60 W 142ND ST
Practice Address - Street 2:APT. 5M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1104
Practice Address - Country:US
Practice Address - Phone:212-368-9035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299876-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse