Elizabeth C Victor | Staten Island, NY • PECOS Search

Elizabeth C Victor

Counselor

Behavioral Health & Social Service Providers

59 Carmel Ave, Staten Island, NY 10314-4411

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth C Victor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1144438870
Provider Type
Individual
Full Name
Victor, Elizabeth C
Title
Ms.
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/18/2007
Last Updated
7/8/2007

Contact Information

Practice Location

59 Carmel Ave, Staten Island, NY 10314-4411

(718) 698-6274

Mailing Location

59 Carmel Ave, Staten Island, NY 10314-4411

(718) 698-6274

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 002351 New York