Individual
VIVIANNE MARTINE SAMBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
271393
NY
208M00000X
Hospitalist Physician
Primary
271393
NY
Other
Enumeration date
06/07/2013
Last updated
07/14/2020
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