Individual
FLOR VIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
Mailing address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061911
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2020
Last updated
12/28/2021
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