Organization
DAVID VIVAS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
1075 FRANKLIN AVE, GARDEN CITY, NY 11530-2930
(516) 478-8300
Mailing address
1075 FRANKLIN AVE, GARDEN CITY, NY 11530-2930
(516) 478-8300
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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