Individual
ANTONELLA ALEXANDRIA VIGLIOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
692 SHERMAN CT, WESTBURY, NY 11590-5418
(516) 203-2053
Mailing address
692 SHERMAN CT, WESTBURY, NY 11590-5418
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
028069
NY
Other
Enumeration date
03/01/2022
Last updated
03/04/2022
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