Provider Demographics
NPI:1083100390
Name:ANAPOL, VIVIAN ANN (MA, MED)
Entity Type:Individual
Prefix:MS
First Name:VIVIAN
Middle Name:ANN
Last Name:ANAPOL
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2718
Mailing Address - Country:US
Mailing Address - Phone:212-567-8608
Mailing Address - Fax:
Practice Address - Street 1:45 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2718
Practice Address - Country:US
Practice Address - Phone:212-567-8608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist