| Doctor Name: | VIVIAN BRESLIN |
| NPI Number: | 1356434955 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | F4005051 |
| Business Practice Address: | Route 9w West Haverstraw, NY - 109931195 |
| Business Phone Number: | 5165411090 |
| Business Fax Number: | 5167948165 |
| Mailing Address: | 1900 Hempstead Turnpike Suite 500, EAST MEADOW |
| State: | NY |
| Postal Code: | 11554 |
| Phone Number: | 5165421090 |
| Fax Number: | 5167948165 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0222X |
| License Number: | F4005051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics, Critical Care |
| Taxonomy Definition: | |