Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY A VISCOSI, PA
ActiveKELLY A VISCOSI, PA is a Physician Assistant healthcare provider located in MAYFIELD, New York. NPI 1184732539 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MAYFIELD, NY
Registration Details
- NPI Number
- 1184732539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2006 (19.979913884452 yrs)
- Last Updated
- Jan 21, 2015
- License
-
005674 (NY)
Practice Information
- Address
-
2497 STATE HIGHWAY 30MAYFIELD, NY, 121174020Browse NY providers · Browse ZIP 12117
- Phone
- 5186615493
- Fax
- 5186617688
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MAYFIELD, NY
| Name | Credential | NPI |
|---|---|---|
| SARAH JEAN HAND | RPAC | 1760726921 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.