Individual
CALLIE VIVERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM L. AC.
Contact information
Practice address
1416 JERUSALEM AVE, NORTH MERRICK, NY 11566-1305
(516) 945-5944
Mailing address
124 GORMLEY AVE, MERRICK, NY 11566-3010
(516) 945-5944
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005683
NY
171100000X
Acupuncturist
—
—
Other
Enumeration date
01/26/2016
Last updated
07/21/2022
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