Vizconde, Tristan

Vizconde, Tristan is an sole proprietor health care provider with primary practice located at 10524 63Rd Dr Apt 1J , Forest Hills NY 11375-1636. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Vizconde, Tristan can be contacted via phone (646) 643-0796.

Contact Information

Primary practice address
10524 63Rd Dr Apt 1J Forest Hills NY 11375-1636
Phone: (646) 643-0796
Fax: (646) 328-9323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 092928-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 090700 New York

Profile Details

NPI number 1811436736
LBN Legal business name Vizconde, Tristan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2017
Last updated Aug 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers