Individual
MR. MICHAEL ANTHONY VIGLIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2627 HYLAN BLVD., SUITE C, LOWER LEVEL, STATEN ISLAND, NY 10306
(718) 351-1136
(718) 667-9711
Mailing address
2627 HYLAN BLVD., SUITE C, LOWER LEVEL, STATEN ISLAND, NY 10306
(718) 351-1136
(718) 667-9711
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
356361
NY
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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