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Michael J Viscuso, D.P.T.

Physical Therapist in Greenlawn, NY. Individual provider (NPI-1).

NPI number1376830505
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1376830505
Entity type
Individual (NPI-1)
Name
Michael J Viscuso
Credential
D.P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2011
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist034002NYYes

Practice location

92 Broadway
Suite 102
Greenlawn, NY 11740-1328

Phone 631-262-7855 · Fax 631-262-7854

Mailing address

755 New York Ave
Suite 106
Huntington, NY 11743-4240

Phone 631-351-7676

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