Susan De Vivio N.P.

NPI 1750310116 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1750310116
Gender Female
Enumeration Date 06/30/2006
Last Updated 04/10/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2201 HEMPSTEAD TPKE
EAST MEADOW NY, 11554-1859, US
Phone (516) 572-6177
Fax
Business Location
2201 HEMPSTEAD TPKE
EAST MEADOW NY, 11554-1859, US
Phone (516) 572-6177
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State New York
License Number 292543
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According to our database, Susan De Vivio N.P. NPI is 1750310116, taxonomy code is 363LP0200X and license number is 292543, license state is located at New York. Susan De Vivio N.P. physically located at 2201 Hempstead Tpke, East Meadow NY, 11554-1859. NPI Number Susan De Vivio N.P. has the Individual type.

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1750310116 NPI number is provided on an as is basis without warranty of any kind. 1750310116 is maintained by the National Plan & Provider Enumeration System. The contents of Susan De Vivio N.P. are for informational purposes only.