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Individual

JOHN VISCOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
101 S BEDFORD RD, SUITE 213, MOUNT KISCO, NY 10549-3439
(914) 244-0244
(914) 244-0261
Mailing address
190 GOLDENS BRIDGE RD, KATONAH, NY 10536-2810
(914) 401-8053
(914) 232-3366

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005723 1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02264060
NY
Enumeration date
08/08/2006
Last updated
09/27/2012
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