Provider Demographics
NPI:1871689869
Name:MICHAELS, VICTORIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:M
Last Name:MICHAELS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4 TOWER PL
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3715
Mailing Address - Country:US
Mailing Address - Phone:518-489-4471
Mailing Address - Fax:518-489-4506
Practice Address - Street 1:4 TOWER PL
Practice Address - Street 2:8TH FLOOR
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3715
Practice Address - Country:US
Practice Address - Phone:518-489-4471
Practice Address - Fax:518-489-4506
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2021-04-22
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Provider Licenses
StateLicense IDTaxonomies
NY229241207RR0500X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02493194Medicaid
NYH89545Medicare UPIN