Individual
DR. DAVID ALBERTO VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HSC T19-020 STONY BROOK MEDICINE, STONY BROOK, NY 11794-8191
(631) 444-8330
(631) 638-0050
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
284005
NY
Other
Enumeration date
10/15/2008
Last updated
09/11/2018
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