Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baker Victory Healthcare Center

Organization Pediatrics Physician · NPI 1538082821

Baker Victory Healthcare Center is a Pediatrics Physician in Lackawanna, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

790 Ridge Rd Fl 1
Lackawanna, NY 14218-1629
Phone: (716) 893-7337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1538082821
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBaker Victory Healthcare Center
Authorized official Amy Destro — Credentialing Specialist · (716) 343-5566
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address790 Ridge Rd, Lackawanna, NY 14218-1629

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