Vivien Boniuk MD

NPI 1790882405 - Ophthalmology - 207W00000X

NPI Details
NPI 1790882405
Gender Female
Enumeration Date 09/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8268 164TH ST
JAMAICA NY, 11432-1121, US
Phone (718) 883-3225
Fax (718) 883-6193
Business Location
7901 BROADWAY
MANAGED CARE, D1-01
ELMHURST NY, 11373-1329, US
Phone (718) 334-1921
Fax (718) 334-3432
Toxanomy
Taxonomy Code 207W00000X
License State New York
License Number 119908
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According to our database, Dr. Vivien Boniuk MD NPI is 1790882405, taxonomy code is 207W00000X and license number is 119908, license state is located at New York. Vivien Boniuk MD physically located at 8268 164th St, Jamaica NY, 11432-1121. NPI Number Vivien Boniuk MD has the Individual type.

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1790882405 NPI number is provided on an as is basis without warranty of any kind. 1790882405 is maintained by the National Plan & Provider Enumeration System. The contents of Vivien Boniuk MD are for informational purposes only.