Vivona, Nicole A

Vivona, Nicole A is an sole proprietor health care provider with primary practice located at 2982 Kenneth Pl , Oceanside NY 11572-3010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vivona, Nicole A can be contacted via phone (516) 398-1811.

Contact Information

Primary practice address
2982 Kenneth Pl Oceanside NY 11572-3010
Phone: (516) 398-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 19440 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 069272 New York

Profile Details

NPI number 1083810568
LBN Legal business name Vivona, Nicole A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2007
Last updated May 9th, 2008 - about 18 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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