Individual
MARIA VISSICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MONTAUK HIGHWAY, WEST ISLIP, NY 11795
(631) 376-4027
Mailing address
52 MAIN ST, BEDFORD HILLS, NY 10507-1814
(914) 666-2220
(914) 666-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
185368
NY
Other
Enumeration date
03/07/2006
Last updated
03/24/2016
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