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Individual

DR. VIJAY VISHWANATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
391 MYRTLE AVE STE 1A, ALBANY, NY 12208-3797
(703) 967-4074
Mailing address
391 MYRTLE AVE STE 1A, ALBANY, NY 12208-3797
(703) 967-4074

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
278183
NY

Other

Enumeration date
05/11/2010
Last updated
07/21/2022
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