Individual
VIVIAN FAHMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 BROADWAY, LYNBROOK, NY 11563-3233
(516) 599-6100
Mailing address
4 ADAMS ST, BALDWIN, NY 11510-4622
(516) 442-0355
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
012984-1
NY
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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