Provider Demographics
NPI:1336407352
Name:MONACO, VICTORIA ELIZABETH (LPN)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ELIZABETH
Last Name:MONACO
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:PO BOX 491
Mailing Address - Street 2:14 VALLEY VIEW DR
Mailing Address - City:UNIONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10988-0491
Mailing Address - Country:US
Mailing Address - Phone:845-346-6484
Mailing Address - Fax:845-726-0998
Practice Address - Street 1:14 VALLEY VIEW DR.
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:NY
Practice Address - Zip Code:10988
Practice Address - Country:US
Practice Address - Phone:845-346-6484
Practice Address - Fax:845-726-0998
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309430-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse