Provider Demographics
NPI:1235964750
Name:OZADOVSKY, VICTORIA (PCD(DONA))
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:OZADOVSKY
Suffix:
Gender:F
Credentials:PCD(DONA)
Other - Prefix:
Other - First Name:VIC
Other - Middle Name:
Other - Last Name:OZADOVSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PCD(DONA)
Mailing Address - Street 1:3272 JUDITH LN
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3272 JUDITH LN
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4211
Practice Address - Country:US
Practice Address - Phone:347-450-1579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14709374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula