Provider Demographics
NPI:1497089502
Name:BYKERK, VIVIAN PATRICIA (VIVIAN BYKERK MD)
Entity Type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:PATRICIA
Last Name:BYKERK
Suffix:
Gender:F
Credentials:VIVIAN BYKERK MD
Other - Prefix:DR
Other - First Name:VIVIAN
Other - Middle Name:PATRICIA
Other - Last Name:BYKERK KERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:VIVIAN BYKERK MD
Mailing Address - Street 1:535 E 70TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4823
Mailing Address - Country:US
Mailing Address - Phone:212-774-7520
Mailing Address - Fax:212-606-1605
Practice Address - Street 1:535 E 70TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4823
Practice Address - Country:US
Practice Address - Phone:212-774-7520
Practice Address - Fax:212-606-1605
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ50155207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology