Individual
EMMANUELLA E VIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
854 SUNRISE HWY # 1037, BAY SHORE, NY 11706-5908
(631) 621-8348
(563) 200-5520
Mailing address
1241 DEER PARK AVE STE 1, NORTH BABYLON, NY 11703-3114
(631) 621-8348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
402836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06129542
—
NY
Enumeration date
04/22/2009
Last updated
10/20/2025
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