Provider Demographics
NPI:1568794980
Name:VIEUX, EMMANUELA
Entity Type:Individual
Prefix:
First Name:EMMANUELA
Middle Name:
Last Name:VIEUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2682 W 2ND ST
Mailing Address - Street 2:APT 6J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-6384
Mailing Address - Country:US
Mailing Address - Phone:718-646-0186
Mailing Address - Fax:
Practice Address - Street 1:2682 W 2ND ST
Practice Address - Street 2:APT 6J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-6384
Practice Address - Country:US
Practice Address - Phone:718-646-0186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY366396163W00000X
NY3663961163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool