Individual provider · Type 1 NPI
Vivian Denise, DO
Pediatric Adolescent Medicine Physician · Rockville Centre, NY
NPI number
1306930045
Active
Practice location
325 Hempstead Avenue
Rockville Centre, NY 11570
Fax (516) 764-8711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 163416 (NY) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
About NPI 1306930045
Vivian Denise, DO's National Provider Identifier is 1306930045, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Rockville Centre, NY. The record was last updated on Jul 8, 2007.