Provider Demographics
NPI:1851495345
Name:VIEYTEZ, JAVIER FRANCISCO (MD)
Entity Type:Individual
Prefix:MR
First Name:JAVIER
Middle Name:FRANCISCO
Last Name:VIEYTEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RHONDA LANE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-864-3744
Mailing Address - Fax:651-425-8101
Practice Address - Street 1:33 WALT WHITMAN ROAD
Practice Address - Street 2:SUITE 125
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746
Practice Address - Country:US
Practice Address - Phone:631-425-8100
Practice Address - Fax:631-425-8101
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208957208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics