Individual
DR. CHRISTOPHER J VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 FORT WASHINGTON AVE, SUITE 199, NEW YORK, NY 10032-3735
(212) 305-3535
(212) 342-1470
Mailing address
180 FORT WASHINGTON AVE, SUITE 199, NEW YORK, NY 10032-3735
(212) 305-3535
(212) 342-1470
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
253342
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
253342
NY
Other
Enumeration date
08/06/2008
Last updated
07/24/2014
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