Individual
DR. VIVIAN EDITH ROSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3175 23RD ST, ASTORIA, NY 11106-4134
(646) 680-4227
(718) 956-2261
Mailing address
3175 23RD ST, ASTORIA, NY 11106-4134
(646) 680-4227
(718) 956-2261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
187570-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01502854
—
NY
Enumeration date
08/09/2005
Last updated
04/10/2017
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