MRS. Michele Vivona

NPI #1881945533 in Islip, New York

Provider Information

NPI Number: 1881945533
Entity Type: Individual
Name: MRS. Michele Vivona
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 252 ISLIP AVE
City: Islip
State: New York
ZIP Code: 11751-3029
Phone: (631) 581-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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