Provider Demographics
NPI:1477520039
Name:SONE, VIVIAN MEE (MD)
Entity Type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:MEE
Last Name:SONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CRYSTAL SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1412
Mailing Address - Country:US
Mailing Address - Phone:914-924-1683
Mailing Address - Fax:914-238-4674
Practice Address - Street 1:1075 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3242
Practice Address - Country:US
Practice Address - Phone:914-376-9100
Practice Address - Fax:914-376-5558
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219897207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02250439Medicaid
NYH47657Medicare UPIN
NY02250439Medicaid