Individual
MS. MARYANNE ELIZABETH VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NYS LIC MASSAGE THER
Contact information
Practice address
390 MERRICK AVE, OFFICE, EASTMEADOW, NY 11554
(516) 489-2212
(516) 489-5132
Mailing address
67 BAYSIDE AVE, AMITYVILLE, NY 11701
(516) 445-6295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006367
NY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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