Individual
MR. MIKKO DANE VIUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
505 W 43RD ST APT 3K, NEW YORK, NY 10036-0091
(630) 456-5251
Mailing address
505 W 43RD ST APT 3K, NEW YORK, NY 10036-0091
(630) 456-5251
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407437
NY
Other
Enumeration date
08/07/2025
Last updated
12/10/2025
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