Provider Demographics
NPI:1447030754
Name:CEDENO, VIANNETTE
Entity type:Individual
Prefix:
First Name:VIANNETTE
Middle Name:
Last Name:CEDENO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 83RD ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5048
Mailing Address - Country:US
Mailing Address - Phone:646-938-2358
Mailing Address - Fax:
Practice Address - Street 1:100 W 83RD ST APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5048
Practice Address - Country:US
Practice Address - Phone:646-938-2358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist