Susan Ann Vitale

NPI #1134205750 in Hauppauge, New York

Provider Information

NPI Number
1134205750
Entity Type
Individual
Name
Susan Ann Vitale
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
120 PLANT AVE
ZIP Code
11788-3805
Phone
(631) 851-3810

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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