Individual
BRITTANY NIGHTINGALE VISKOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 MAPLE ST, MEDFORD, NY 11763-4009
(848) 209-1302
Mailing address
149 MAPLE ST, MEDFORD, NY 11763-4009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026285
NY
Other
Enumeration date
08/24/2022
Last updated
03/04/2024
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