| Doctor Name: | MRS. SUSAN VISCONTI |
| NPI Number: | 1205175874 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 012293 |
| Business Practice Address: | 333 Mamaroneck Ave #331 White Plains, NY - 106051440 |
| Business Phone Number: | 9144582249 |
| Business Fax Number: | |
| Mailing Address: | 31 Mcguiness Ln, WHITE PLAINS |
| State: | NY |
| Postal Code: | 106055109 |
| Phone Number: | 9145845383 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2013 |
| NPI Last Update Date: | 02/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 012293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |