Organization
ALEX VISCO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE KILIANSKI (OFFICE MANAGER)
(201) 533-9200
Entity
Organization
Contact information
Practice address
25 5TH AVE, SUITE 1, NEW YORK, NY 10003-4307
(201) 852-2075
(201) 710-5694
Mailing address
25 5TH AVE, 1F, NEW YORK, NY 10003-4307
(201) 852-2075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
231025-1
NY
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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