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

Victory Family Wellness LLC

Organization Gerontology Nurse Practitioner · NPI 1205559812

Victory Family Wellness LLC is a Gerontology Nurse Practitioner in Brooklyn, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1812 Quentin Rd Ste M2
Brooklyn, NY 11229-1336
Phone: (347) 443-3707
Fax: (917) 791-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1205559812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larissa Jerominow — Owner · (347) 443-3707
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address1812 Quentin Rd Ste M2, Brooklyn, NY 11229-1336

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