MEDICARE: ANTHONY VIGLIOTTI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	205014	NY
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	205014	NY

General Provider Information

NPI Number	:	1033288113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY VIGLIOTTI M.D.

Provider Business Mailing Address
First Line	:	1372 STATE ROUTE 5
Second Line	:	CHITTENANGO HEALTHCARE CENTER
City	:	CHITTENANGO
State	:	NY
Zip	:	13037-8763
Country	:	US
Telephone Number	:	315-687-5100
Fax Number	:	315-687-0252

Provider Business Practice Location Address
First Line	:	1372 STATE ROUTE 5
Second Line	:	CHITTENANGO HEALTHCARE CENTER
City	:	CHITTENANGO
State	:	NY
Zip	:	13037-8763
Country	:	US
Telephone Number	:	315-687-5100
Fax Number	:	315-687-0252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/14/2013

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