Individual
DR. MARIA LOUELLA LOPEZ VIVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 SULLYS TRL, PITTSFORD, NY 14534-4552
(585) 544-7979
(585) 544-7901
Mailing address
601 ELMWOOD AVE BOX 278984, ROCHESTER, NY 14642-0001
(585) 784-9277
(585) 424-7289
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
286977
NY
2084N0400X
Neurology Physician
MD428027
PA
2084N0400X
Neurology Physician
ME76751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003666500
—
FL
Enumeration date
05/12/2006
Last updated
06/29/2023
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