Individual
DR. LARAINE LINDA VIVIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
787 WALT WHITMAN RD, MELVILLE, NY 11747-2207
(631) 271-3443
Mailing address
787 WALT WHITMAN RD, MELVILLE, NY 11747-2207
(631) 271-3443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0005246
NY
Other
Enumeration date
06/25/2005
Last updated
10/27/2011
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