Individual
VIVIANA MARCELA IMBACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 BELL BLVD, BAYSIDE, NY 11360-1639
(516) 270-4732
Mailing address
1633 BELL BLVD, BAYSIDE, NY 11360-1639
(516) 924-4856
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
09/23/2024
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