Individual
ANGELA VISCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 849-6499
Mailing address
1690 NOYACK RD, SOUTHAMPTON, NY 11968-1404
(631) 283-3903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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