Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Victory Family Wellness LLC

Organization Gerontology Nurse Practitioner · NPI 1205559812

Victory Family Wellness LLC provides Gerontology Nurse Practitioner services 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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