Vivian, Dina

Vivian, Dina is an sole proprietor health care provider with primary practice located at 1239 Route 25A Suite 6A, Stony Brook NY 11790-1934. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vivian, Dina can be contacted via phone (631) 689-3483.

Contact Information

Primary practice address
1239 Route 25A Suite 6A Stony Brook NY 11790-1934
Phone: (631) 689-3483
Fax: (631) 584-5261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009593 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 009593 New York

Profile Details

NPI number 1548258817
LBN Legal business name Vivian, Dina
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Nov 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548258817 NPPES
New York Other P590784 OXFORD HEALTH INSURANCE
New York Other 0038569 OXFORD HEALTH INSURANCE
New York Other 069201 OXFORD HEALTH INSURANCE
New York Other 085652000 OXFORD HEALTH INSURANCE

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