Provider Demographics
NPI:1942240650
Name:BRAND, VICTORIA A (CRNA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:BRAND
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 CATHARINE STREET, P.O. BOX 550
Mailing Address - Street 2:ANESTHESIOLOGIST ASSOCIATE OF WESTCHESTER, PC
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602
Mailing Address - Country:US
Mailing Address - Phone:866-868-8417
Mailing Address - Fax:845-790-2675
Practice Address - Street 1:127 SOUTH BROADWAY
Practice Address - Street 2:ST. JOSEPHS MEDICAL CENTER
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-378-7000
Practice Address - Fax:973-989-2645
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NO05138400367500000X
NY245797-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400067450Medicare PIN