Individual
DR. FERDINAND VISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90-02 QUEENS BLVD, ST. JOHN'S QUEENS HOSPITAL, ELMHURST, NY 11373-4941
(718) 558-1830
Mailing address
70 EUCLID RD, FORT LEE, NJ 07024-6434
(201) 886-8511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
113869-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00208080
—
NY
Enumeration date
08/18/2005
Last updated
07/08/2007
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