Individual
GENEVA VIVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
667 STONELEIGH AVE, SUITE 202, CARMEL, NY 10512-2454
(845) 279-5908
(845) 279-5447
Mailing address
667 STONELEIGH AVE, SUITE 202, CARMEL, NY 10512-2454
(845) 279-6381
(845) 279-5447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400496
NY
Other
Enumeration date
06/03/2006
Last updated
10/16/2009
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