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NPI Code Detail

MEDICARE: MRS. MARIA VIVIANO MS, CCC-SLP

MEDICARE: MRS. MARIA VIVIANO MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist018648NY

General Provider Information

NPI Number : 1295971133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA VIVIANO MS, CCC-SLP
Provider Business Mailing Address
First Line : 31 BELLVALE LAKES RD
Second Line :
City : WARWICK
State : NY
Zip : 10990-3724
Country : US
Telephone Number : 914-584-3460
Fax Number :
Provider Business Practice Location Address
First Line : 1108 KINGS HWY
Second Line :
City : CHESTER
State : NY
Zip : 10918-3139
Country : US
Telephone Number : 914-584-3460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2008
Last Update Date : 07/20/2021

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Directions to “ MRS. MARIA VIVIANO MS, CCC-SLP” Practice Location

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