Organization
JOAN A. VIVONA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN A VIVONA MD (PRESIDENT)
(716) 879-0830
Entity
Organization
Contact information
Practice address
565 ABBOTT RD, MERCY HOSPITAL OF BUFFALO, BUFFALO, NY 14220-2039
(716) 879-0830
Mailing address
400 NORTHRUP RD, ELMA, NY 14059-9623
(716) 879-0830
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01842846
—
NY
Enumeration date
09/11/2007
Last updated
09/11/2007
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