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General NPI Number Information
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NPI Number | 1558379297
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Entity Type | Individual
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Provider Name | JOAN ANN VIVONA MD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 NORTHRUP RD
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City | ELMA
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State | NY
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Zip | 14059-9623
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Country | US
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Telephone | 716-879-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 565 ABBOTT RD MERCY HOSPITAL OF BUFFALO
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-826-7000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 164969-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 164969-1
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License Number State | NY
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