Individual
CHRISTOPHER JOHN VISSICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
313 MERRICK RD, ROCKVILLE CENTRE, NY 11570-5325
(516) 536-1031
Mailing address
2706 RIVERSIDE DR, WANTAGH, NY 11793-4624
(516) 732-7589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009775-01
NY
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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