Individual
SHERLIN LAVIANLIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
545 ELMONT RD, ELMONT, NY 11003-4002
(516) 328-7200
Mailing address
11 POND VIEW DR, OYSTER BAY, NY 11771-2817
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
279071
NY
Other
Enumeration date
09/30/2011
Last updated
03/20/2017
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