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

Victory Internal Medicine, PC

Organization Internal Medicine Physician · NPI 1831129865

Victory Internal Medicine, PC is an Internal Medicine Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2315 Victory Blvd
Staten Island, NY 10314-6623
Phone: (718) 477-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 201641 (NY)

Record details

NPI number1831129865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shye Wortman — President · (718) 477-6900
NPI enumeratedJuly 4, 2006
Last updated in NPPESApril 20, 2008
Mailing address2315 Victory Blvd, Staten Island, NY 10314-6623

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