Provider Demographics
NPI:1265590244
Name:HANIFFY, VICTORIA MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:MARIE
Last Name:HANIFFY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:MARIE
Other - Last Name:CAPOTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:4300 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5704
Mailing Address - Country:US
Mailing Address - Phone:516-210-8200
Mailing Address - Fax:
Practice Address - Street 1:4300 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5704
Practice Address - Country:US
Practice Address - Phone:516-210-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00606000152W00000X
PAOEG001787152W00000X
NYTUV007101-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist