Mrs Nicole A Vivona, is a
Social Worker - Clinical based in Oceanside, New York. Mrs Nicole A Vivona is licensed to practice in New York (license number 069272) and her current practice location is
2982 Kenneth Pl, Oceanside, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 398-1811.
NPI number for Mrs Nicole A Vivona is 1083810568 and her current mailing address is 2434 Fox Ave, Baldwin, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083810568.
Healthcare Provider's Profile
Full Name | Mrs Nicole A Vivona |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2982 Kenneth Pl, Oceanside, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083810568
- Provider Enumeration Date: 06/22/2007
- Last Update Date: 05/09/2008
Medical Identifiers
Medical identifiers for Mrs Nicole A Vivona such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083810568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 19440 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 069272 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole A Vivona is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Nicole A Vivona, 2434 Fox Ave, Baldwin, NY 11510-3413 Ph: (516) 705-4094 | Mrs Nicole A Vivona, 2982 Kenneth Pl, Oceanside, NY 11572-3010 Ph: (516) 398-1811 |
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