Most Relevant Information
Provider Data
| NPI Number: | 1003023516 |
| Provider Name: | VIVIAN LYNN POLLOCK M.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 017784 |
Most Important Dates
| Enumeration Date: | 05/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2201 HEMPSTEAD TPKE
EAST MEADOW
NY
115541859
Practice Location Phone/Fax
| Phone: | 5165726131 |
| Fax: |
Provider Mailing Location
2201 HEMPSTEAD TPKE
EAST MEADOW
NY
115541859
Provider Mailing Phone/Fax
| Phone: | 5165726131 |
| Fax: |