Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Glenn David Visconti Jr., PA-C

Individual provider Physician Assistant · NPI 1467903948

Mr. Glenn David Visconti Jr., PA-C is a Physician Assistant in Astoria, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2638 21st St Apt 5J
Astoria, NY 11102-3651
Phone: (845) 857-4128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 020281 (NY)

Record details

NPI number1467903948
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016

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