Individual provider · Type 1 NPI
Susan De Vivio, N.P.
Pediatric Nurse Practitioner · East Meadow, NY
NPI number
1750310116
Active
Practice location
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 292543 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1750310116
Susan De Vivio, N.P.'s National Provider Identifier is 1750310116, issued on Jun 30, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in East Meadow, NY. The record was last updated on Apr 10, 2008.