Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | NYS0519151 | NY |
NPI | 1023177482 |
---|---|
Provider Name | Dr. Vivienne J Allain |
First Address | White Plains, NY 10601 |
Second Address | White Plains, NY 10601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 08/07/2007 |