Penceal, Vivian O.

Penceal, Vivian O. is an sole proprietor health care provider with primary practice located at 25519 149Th Ave 2Nd Floor, Rosedale NY 11422-2812. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Specialist/Technologist, Other Service Providers / Specialist. Speech, Language and Hearing Service Providers / Specialist/Technologist is her primary health care specialty. Penceal, Vivian O. can be contacted via phone (917) 922-3668.

Contact Information

Primary practice address
25519 149Th Ave 2Nd Floor Rosedale NY 11422-2812
Phone: (917) 922-3668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X 215490 New York
Other Service Providers / Specialist 174400000X 215490 New York

Profile Details

NPI number 1699034041
LBN Legal business name Penceal, Vivian O.
Credentials TSHH, MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2012
Last updated Jun 8th, 2012 - about 13 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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