Provider Demographics
NPI:1437474731
Name:VARGA-HUETTNER, VICTORIA EVA (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:EVA
Last Name:VARGA-HUETTNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:624 MCCLELLAN ST
Mailing Address - Street 2:SUITE G01
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1020
Mailing Address - Country:US
Mailing Address - Phone:518-347-5655
Mailing Address - Fax:518-347-5656
Practice Address - Street 1:624 MCCLELLAN ST
Practice Address - Street 2:SUITE G01
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1020
Practice Address - Country:US
Practice Address - Phone:518-347-5655
Practice Address - Fax:518-347-5656
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY270705207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03637029Medicaid
NYJ400095122Medicare PIN