Organization
DAVID VIVAS, PHYSICIAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID VIVAS M. D. (PRESIDENT)
(516) 478-4540
Entity
Organization
Contact information
Practice address
1075 FRANKLIN AVE, GARDEN CITY, NY 11530-2930
(516) 478-4540
(516) 248-5031
Mailing address
1075 FRANKLIN AVE, GARDEN CITY, NY 11530-2930
(516) 478-4540
(516) 248-5031
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
284005
NY
Other
Enumeration date
10/24/2016
Last updated
03/08/2017
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