Individual
WILLIAM MARTIN VISCARDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-8600
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
192250
NY
208M00000X
Hospitalist Physician
Primary
192250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01418524
—
NY
Enumeration date
02/14/2006
Last updated
05/16/2024
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