Individual
VIVINE MARCIA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP,CRNA
Contact information
Practice address
95 GRASSLANDS RD, VALHALLA, NY 10595-1652
(914) 493-7857
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
530769
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
TLRN074076
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03192303
—
NY
Enumeration date
03/11/2010
Last updated
07/23/2024
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