Letizia, Vivian

Letizia, Vivian is an individual health care provider with primary practice located at 2 Maverick Rd , Woodstock NY 12498. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Letizia, Vivian can be contacted via phone (845) 679-2421.

Contact Information

Primary practice address
2 Maverick Rd Woodstock NY 12498
Fax: (845) 679-3235
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 038819 New York

Profile Details

NPI number 1407889546
LBN Legal business name Letizia, Vivian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407889546 NPPES
Other 038819 LICENSE

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