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1710925508
GENEVA VIVINO
CARMEL, NY
NPI
1710925508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 400496)
Enumeration Date
2006-06-03
Last Update Date
2009-10-16
Business Address
GENEVA VIVINO NP
667 STONELEIGH AVE SUITE 202
CARMEL, NY 10512-2454
Phone number: 845-279-5908
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Mailing Address
GENEVA VIVINO NP
667 STONELEIGH AVE SUITE 202
CARMEL, NY 10512-2454
Phone number: 845-279-6381
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