Active NPI
Vivian Fahmy, LMT
- Rehabilitation Chiropractor
- Lynbrook, NY
National Provider Identifier
1255587283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 012984-1
- Practice address
- 120 Broadway
Lynbrook, NY 11563-3233 - Phone
- (516) 599-6100
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 012984-1 | NY | Primary |
Addresses
Primary practice location
120 Broadway
Lynbrook, NY 11563-3233
Mailing address
4 Adams St
Baldwin, NY 11510-4622
Phone (516) 442-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012984-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1255587283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ADAMS ST",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104622",
"telephone_number": "516-442-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BROADWAY",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633233",
"telephone_number": "516-599-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHMY",
"first_name": "VIVIAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NY",
"license": "012984-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.