Provider Demographics
NPI:1942836788
Name:SUTO, VICTORIA CATHERINE (PA)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:CATHERINE
Last Name:SUTO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3487
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14240-3487
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:161 CECIL B MOORE AVE APT 204
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-3243
Practice Address - Country:US
Practice Address - Phone:866-306-2026
Practice Address - Fax:833-228-5591
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA064716363A00000X
NY024801363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant