Healthcare Provider Details

I. General information

NPI: 1992236731
Provider Name (Legal Business Name): VIVIAN APONTE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL SPECIAL SURGERY 535 EAST 70TH STREET NURSING ADMINISTRATION
NEW YORK NY
10021-1821
US

IV. Provider business mailing address

HOSPITAL SPECIAL SURGERY 535 EAST 70TH STREET NURSING ADMINISTRATION
NEW YORK NY
10021-1821
US

V. Phone/Fax

Practice location:
  • Phone: 914-821-9123
  • Fax:
Mailing address:
  • Phone: 914-821-9123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number341337
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: