Individual
DR. JAYNE A VIANEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29 W OAK ST, FARMINGDALE, NY 11735-3121
(516) 752-3837
Mailing address
29 W OAK ST, FARMINGDALE, NY 11735-3121
(516) 752-3837
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
174419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
NY
Enumeration date
01/13/2007
Last updated
05/21/2020
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