MICHAEL VAIVAO

BROOKLYN, NY
NPI1528286101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004492)
Enumeration Date2007-04-21
Last Update Date2007-07-08
Business Address
Mr. MICHAEL VAIVAO PA
1 BROOKDALE PLZ EMERGENCY DEPT
BROOKLYN, NY 11212-3139
Phone number: 718-240-5180
Mailing Address
Mr. MICHAEL VAIVAO PA
80 MARCUS DR PROVIDER ENROLLMENT
MELVILLE, NY 11747-4230
Phone number: 631-391-7889
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