Organization Active NPI

Mih Victory Inc

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
National Provider Identifier
1245698489
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
170111976 Issued in NY
Legal business name
MIH VICTORY INC
Practice address
311 Audubon Ave FL 2
New York, NY 10033-4237
Phone
(212) 256-0725
Fax
(917) 261-4704
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ercilia Garcia
Title
Director
Phone
(212) 256-0725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 170111976 NY Primary

Addresses

Primary practice location

311 Audubon Ave FL 2
New York, NY 10033-4237

Mailing address

311 Audubon Ave FL 2
New York, NY 10033-4237
Phone (212) 256-0725

Other identifiers 1

IdentifierTypeStateIssuer
170111976OtherNYOFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1245698489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 AUDUBON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334237",
            "telephone_number": "212-256-0725",
            "fax_number": "917-261-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AUDUBON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334237",
            "telephone_number": "212-256-0725",
            "fax_number": "917-261-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIH VICTORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ERCILIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-256-0725"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "170111976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES",
            "identifier": "170111976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.