Search › New York › 103TC0700X
Dina Vivian, PH.D
NPI 1548258817 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1239 Route 25a
Suite 6a
Stony Brook, NY 11790 - Phone
- (631) 689-3483
- Fax
- (631) 584-5261
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TB0200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York