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NPI Code Detail

MEDICARE: MS. VIVIEN DIAZ-BARRIOS M.S., CGC

MEDICARE: MS. VIVIEN DIAZ-BARRIOS M.S., CGC
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1154310787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VIVIEN DIAZ-BARRIOS M.S., CGC
Provider Business Mailing Address
First Line : 12505 HILLSIDE AVE
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-1807
Country : US
Telephone Number : 718-846-1151
Fax Number : 516-572-0062
Provider Business Practice Location Address
First Line : 2201 HEMPSTEAD TPKE
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-1859
Country : US
Telephone Number : 516-572-6166
Fax Number : 516-572-0062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 07/08/2007

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