Individual
BETTY VIAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 618-0401
Mailing address
1434 WILLIAMSBRIDGE RD FL 2, BRONX, NY 10461-2507
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F347480
NY
363LF0000X
Family Nurse Practitioner
F34748001
NY
Other
Enumeration date
04/25/2021
Last updated
05/18/2021
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