SUSAN DE VIVIO

EAST MEADOW, NY
NPI1750310116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  292543)
Enumeration Date2006-06-30
Last Update Date2008-04-10
Business Address
-- SUSAN DE VIVIO N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6177
Mailing Address
-- SUSAN DE VIVIO N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6177
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