Individual
DANIEL ROBERT VISCARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2782
(585) 473-2200
Mailing address
135 GARY DR, BROCKPORT, NY 14420-2639
(585) 489-6243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
27586
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
07/17/2023
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