Provider Demographics
NPI:1659648939
Name:MONUS, VIOLA AGNES
Entity Type:Individual
Prefix:MS
First Name:VIOLA
Middle Name:AGNES
Last Name:MONUS
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 1:66 LYONS RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5724
Mailing Address - Country:US
Mailing Address - Phone:914-574-5378
Mailing Address - Fax:
Practice Address - Street 1:66 LYONS RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5724
Practice Address - Country:US
Practice Address - Phone:914-574-5378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103272011152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy