Basic Information
| Provider Information | |||||||||
| NPI: | 1942240650 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BRAND | ||||||||
| FirstName: | VICTORIA | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 CATHARINE STREET, P.O. BOX 550 | ||||||||
| Address2: | ANESTHESIOLOGIST ASSOCIATE OF WESTCHESTER, PC | ||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8668688417 | ||||||||
| FaxNumber: | 8457902675 | ||||||||
| Practice Location | |||||||||
| Address1: | 127 SOUTH BROADWAY | ||||||||
| Address2: | ST. JOSEPHS MEDICAL CENTER | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143787000 | ||||||||
| FaxNumber: | 9739892645 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 05/15/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 26NO05138400 | NJ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 163W00000X | 245797-1 | NY | Y | Nursing Service Providers | Registered Nurse |
No ID Information.