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Individual

DR. VIVIAN DENISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
325 HEMPSTEAD AVENUE, ROCKVILLE CENTRE, NY 11570
(516) 764-6423
(516) 764-8711
Mailing address
325 HEMPSTEAD AVENUE, ROCKVILLE CENTRE, NY 11570
(516) 764-6423
(516) 764-8711

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
163416
NY

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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