Basic Information
| Provider Information | |||||||||
| NPI: | 1477520039 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SONE | ||||||||
| FirstName: | VIVIAN | ||||||||
| MiddleName: | MEE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 CRYSTAL SPRING RD | ||||||||
| Address2: | |||||||||
| City: | CHAPPAQUA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105141412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149241683 | ||||||||
| FaxNumber: | 9142384674 | ||||||||
| Practice Location | |||||||||
| Address1: | 1075 CENTRAL PARK AVE | ||||||||
| Address2: | |||||||||
| City: | SCARSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105833242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143769100 | ||||||||
| FaxNumber: | 9143765558 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2006 | ||||||||
| LastUpdateDate: | 01/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 219897 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 02250439 | 05 | NY | MEDICAID |