Idalia Viard, | |
610 Grassmere Ter, Far Rockaway, NY 11691-2535 | |
(941) 587-6712 | |
Not Available |
Full Name | Idalia Viard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 610 Grassmere Ter, Far Rockaway, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053883074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 761298 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1017344 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Idalia Viard, 1400 Woodloch Forest Dr, The Woodlands, TX 77380-1100 Ph: (941) 587-6712 | Idalia Viard, 610 Grassmere Ter, Far Rockaway, NY 11691-2535 Ph: (941) 587-6712 |
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