Individual
DR. VIVIAN MANCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
277 PACIFIC AVE, STATEN ISLAND, NY 10312-5124
(917) 846-9201
Mailing address
277 PACIFIC AVE, STATEN ISLAND, NY 10312-5124
(917) 846-9201
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
018616
NY
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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