Alex Visco Md Pc

NPI 1144659970 - Specialist - 174400000X

NPI Details
NPI 1144659970
Enumeration Date 11/02/2013
Last Updated 11/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RENEE RENEE
Position OFFICE MANAGER
Phone (201) 852-2075
Fax (201) 710-5694
Practice Location
25 5TH AVE
SUITE 1
NEW YORK NY, 10003-4307, US
Phone (201) 852-2075
Fax (201) 710-5694
Business Location
25 5TH AVE
1F
NEW YORK NY, 10003-4307, US
Phone (201) 852-2075
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 231025-1
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According to our database, Alex Visco Md Pc NPI is 1144659970, taxonomy code is 174400000X and license number is 231025-1, license state is located at New York. Alex Visco Md Pc physically located at 25 5th Ave, New York NY, 10003-4307. NPI Number 1033115704 has the healthcare provider type.

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1144659970 NPI number is provided on an as is basis without warranty of any kind. 1144659970 is maintained by the National Plan & Provider Enumeration System. The contents of Alex Visco Md Pc are for informational purposes only.