Individual
MRS. BRIANNA VIXAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 MAMARONECK AVE, HARRISON, NY 10528-1633
(914) 771-7373
Mailing address
500 MAMARONECK AVE, HARRISON, NY 10528-1633
(914) 771-7373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343510
NY
Other
Enumeration date
05/01/2017
Last updated
10/03/2019
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