Individual
VIVIAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 FAIRLAWN LOOP, STATEN ISLAND, NY 10308-3509
(646) 715-9592
Mailing address
12 FAIRLAWN LOOP, STATEN ISLAND, NY 10308-3509
(646) 715-9592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F357983
NY
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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