ASA VICCELLIO

STONY BROOK, NY
NPI1659316750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  137862)
Enumeration Date2006-06-20
Last Update Date2007-07-08
Business Address
Dr. ASA VICCELLIO M.D.
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794-0001
Phone number: 631-444-2499
Mailing Address
Dr. ASA VICCELLIO M.D.
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-2499