Anthony Vultaggio
NPI #1013317775 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1013317775
- Entity Type
- Individual
- Name
- Anthony Vultaggio
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 1, 2014
- Last Updated
- Sep 1, 2014
Practice Location
- Address
- 90 AIR PARK DR
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-7360
- Phone
- (631) 580-4020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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