Active NPI
Mih Victory Inc
- Addiction (Substance Use Disorder) Counselor
- New York, NY
National Provider Identifier
1245698489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 170111976
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170111976 | Other | NY | OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- New York, NY
- NPI 1912173501
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1629055959
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1962494948
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.