Desiree Viviano
Desiree Viviano is a Physician Assistant in Bowdoin, Maine. Qualified in 2014, 12 years ago. Practices with Mercy Hospital, a 308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine and New York.
- Years since qualifying
- 12
- Licensed in
- ME, NY
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
448 W RdBowdoin, ME 04287-7237
Phone: (516) 456-8812
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5 Jeffrey Ct, Freeport, NY 11520-5711 — (516) 456-8812
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA2178 (ME) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 017990-1 (NY) |
Record details
| NPI number | 1881097186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 30, 2014 |
| Last updated in NPPES | September 12, 2022 |
| Certification date | September 12, 2022 |
| Mailing address | 448 West Rd, Bowdoin, ME 04287-7237 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Mercy Hospital — 308 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |