Individual
DR. MATTHEW JOSEPH VISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
55 2ND AVE, BRENTWOOD, NY 11717-4665
(631) 617-5733
(631) 617-5731
Mailing address
23 GREENMIST DR, LAKE RONKONKOMA, NY 11779-4559
(631) 676-6665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009235
NY
Other
Enumeration date
06/25/2006
Last updated
01/16/2020
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