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1487899027
EDWIN XAVIER VICIOSO
NEW ROCHELLE, NY
NPI
1487899027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 250531)
Enumeration Date
2008-12-11
Last Update Date
2013-06-26
Business Address
Dr. EDWIN XAVIER VICIOSO M.D.
16 GUION PL SOUND SHORE MEDICAL CENTER ANESTHESIA DEPARTMENT
NEW ROCHELLE, NY 10801-5502
Phone number: 914-409-5211
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Mailing Address
Dr. EDWIN XAVIER VICIOSO M.D.
PO BOX 270
MASSAPEQUA PARK, NY 11762-0270
Phone number: 631-264-2035
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