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MR. GLENN DAVID VISCONTI JR. PA-C
NPI 1467903948
Physician Assistant in Astoria, NY

Active since October 19, 2016
2638 21ST ST, APT 5J, ASTORIA, NY 11102(845) 857-4128 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Glenn David Visconti Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLENN DAVID VISCONTI JR. PA-C (NPI 1467903948) is an individual physician assistant in Astoria, New York, licensed in New York (020281) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1467903948
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GLENN DAVID VISCONTI JR.Credential: PA-C
Location Address2638 21ST ST, APT 5JAstoria, NY 11102-3651
Mailing Address26-38 21 St, Apt 5jAstoria, NY 11102 · (845) 857-4128
Phone(845) 857-4128
Sole ProprietorNo
Enumeration DateOctober 19, 2016
✔ NPI 1467903948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 020281
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2638 21ST ST, Astoria, NY 11102
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Visconti's NPI number?

The NPI number for Glenn Visconti is 1467903948. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Glenn Visconti located?

Glenn Visconti practices at 2638 21st St Apt 5J, Astoria, NY 11102. The listed phone number is (845) 857-4128.

What is Glenn Visconti's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Glenn Visconti was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.