Individual
LISA MARIA VIGGIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8728
(845) 374-8892
Mailing address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8728
(845) 374-8892
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609312875
—
NY
Enumeration date
09/20/2018
Last updated
09/20/2018
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