Vollmer, Vivica

Vollmer, Vivica is an individual health care provider with primary practice located at 181 N Belle Mead Rd , East Setauket NY 11733-3495. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vollmer, Vivica can be contacted via phone (631) 444-5858.

Contact Information

Primary practice address
181 N Belle Mead Rd East Setauket NY 11733-3495
Phone: (631) 444-5858
Fax: (631) 444-1899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 207859 New York

Profile Details

NPI number 1073558995
LBN Legal business name Vollmer, Vivica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Apr 30th, 2022 - about 4 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 1073558995 NPPES
New York MEDICAID 01766958
New York Other 5699593
New York Other 41X963

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