MR. GLENN VISCONTI JR., PA-C

Physician Assistant

Active Individual
NPI: 1467903948

Practice Address

2638 21ST ST
APT 5J
Astoria, NY 11102

Phone: (845) 857-4128

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 020281 (NY)

Frequently Asked Questions

NPI 1467903948 is the National Provider Identifier for MR. GLENN VISCONTI JR., PA-C, a Physician Assistant provider located in Astoria, NY. This NPI was enumerated on October 19, 2016.
MR. GLENN VISCONTI JR., PA-C practices at 2638 21ST ST, APT 5J, Astoria, NY 11102.

Quick Facts

NPI
1467903948
Type
Individual
Enumerated
Oct 19, 2016
Last Updated
Oct 19, 2016

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