Individual
DR. JEFFREY J VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 N BAILEY AVE, SUITE 205, AMHERST, NY 14226
(716) 857-8751
(716) 961-2225
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
229881-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026906501
UNIVERA
NY
01
—
000527799001
HEALTH NOW
NY
01
—
1412674
IHA
NY
01
—
161000580
EMPIRE PLAN
NY
05
—
2588374
—
NY
Enumeration date
01/11/2006
Last updated
08/22/2018
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