Organization
VIVE MEDICAL PLLC
Active
Organization
VIVE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYA KORCH (MANAGER)
(305) 929-3376
Entity
Organization
Contact information
Practice address
1250 OCEAN PKWY, BROOKLYN, NY 11230-5155
(718) 500-3505
Mailing address
1 IRVING PL APT U20E, NEW YORK, NY 10003-9729
(305) 929-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
12/17/2018
Last updated
03/22/2023
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