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Contact Information

MICHELE VIVONA
252 ISLIP AVE
ISLIP, NY11751-3029
 Phone: 631-581-6800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHELE VIVONA · (Female)

NPI # 1881945533
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2012
Last updated 09/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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