MEDICARE: GENEVA VIVINO NP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	400496	NY

General Provider Information

NPI Number	:	1710925508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVA VIVINO NP

Provider Business Mailing Address
First Line	:	667 STONELEIGH AVE
Second Line	:	SUITE 202
City	:	CARMEL
State	:	NY
Zip	:	10512-2454
Country	:	US
Telephone Number	:	845-279-6381
Fax Number	:	845-279-5447

Provider Business Practice Location Address
First Line	:	667 STONELEIGH AVE
Second Line	:	SUITE 202
City	:	CARMEL
State	:	NY
Zip	:	10512-2454
Country	:	US
Telephone Number	:	845-279-5908
Fax Number	:	845-279-5447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	10/16/2009

Similar Medicare Providers

1023011368 — DR. JEFFREY M PASSICK M.D.
Practice Location Address:

667 STONELEIGH AVE , STE 302
CARMEL, NY
10512-2454

Practice Phone: 845-279-5550
Practice Fax: 845-279-3490

1346233194 — DR. BRUCE MARSHALL SHAFFER DPM
Practice Location Address:

667 STONELEIGH AVE , SUITE 111
CARMEL, NY
10512-2454

Practice Phone: 845-278-8637
Practice Fax: 845-278-8695

1487639993 — NYCONN ORTHOPAEDIC & REHABILITATION SPECIALISTS, PLLC
Practice Location Address:

667 STONELEIGH AVE , SUITE 302
CARMEL, NY
10512-2454

Practice Phone: 914-279-5550
Practice Fax: 914-279-3490

1033171566 — LEILANI A LOPEZ P.T.
Practice Location Address:

667 STONELEIGH AVE , SUITE 117
CARMEL, NY
10512-2454

Practice Phone: 845-230-5178
Practice Fax: 845-363-1816

1720012578 — DR. ANTHONY M CUOMO DDS
Practice Location Address:

667 STONELEIGH AVE , SUITE 301
CARMEL, NY
10512-2454

Practice Phone: 845-278-2101
Practice Fax: 845-278-8806

1235158031 — DR. SUNIL GUPTA M.D.
Practice Location Address:

667 STONELEIGH AVE , BARNS OFFICE CENTER BLDG A201
CARMEL, NY
10512-2454

Practice Phone: 845-278-5223
Practice Fax: 845-278-4579

Directions to “ GENEVA VIVINO NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.