Individual
VIVIENNE ESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 BRONXWOOD AVE, BRONX, NY 10469-3629
(917) 565-1014
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
394320-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394320-1
CASE MANAGER
NY
Enumeration date
02/08/2022
Last updated
02/08/2022
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