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Contact Information

MARIA VISSICCHIO, MD
1000 MONTAUK HIGHWAY
WEST ISLIP, NY11795
 Phone: 631-376-4027
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MARIA VISSICCHIO · (Female)

NPI Number 1356318463
Status Active
Credentials MD
Entity Individual
Enumeration date 03/07/2006
Last updated 03/24/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 185368
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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