Individual
MRS. MELINDA EARON VISCUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
19 EDWARD J LEMPKA DR, FLORIDA, NY 10921-1036
(845) 651-3668
(845) 651-1697
Mailing address
19 EDWARD J LEMPKA DR, FLORIDA, NY 10921-1036
(845) 651-3668
(845) 651-1697
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0058182
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02544012
—
NY
Enumeration date
10/05/2005
Last updated
05/08/2009
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