Individual
MRS. JOANN VISONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
105 MILLS AVENUE, 2ND FLOOR, STATEN ISLAND, NY 10305
(917) 750-4064
Mailing address
105 MILLS AVENUE, 2ND FLOOR, STATEN ISLAND, NY 10305
(917) 750-4064
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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