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 provides Pediatrics Physician services 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
Show map & directions

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

Other providers in Lackawanna