Basic Information
| Provider Information | |||||||||
| NPI: | 1154503050 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AVRAMOFF | ||||||||
| FirstName: | VIVIENNE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 170 WILLIAM ST | ||||||||
| Address2: | NYU DOWNTOWN HOSPITAL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100382612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123125068 | ||||||||
| FaxNumber: | 2123125985 | ||||||||
| Practice Location | |||||||||
| Address1: | 170 WILLIAM ST | ||||||||
| Address2: | NYU DOWNTOWN HOSPITAL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100382612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123125068 | ||||||||
| FaxNumber: | 2123125985 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2007 | ||||||||
| LastUpdateDate: | 12/03/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 242260 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.