Organization
CARDIOGRAPHIC ASSOCIATES OF HIGH STREET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VISCO M.D. (PHYSICIAN)
(716) 859-2748
Entity
Organization
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-2748
Mailing address
PO BOX 340, BUFFALO, NY 14240-0340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000510200001
BLUE CROSS
NY
05
—
00907777
—
NY
Enumeration date
03/15/2006
Last updated
08/24/2007
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