Kimberly Vitacco

NPI #1407351596 in Lynbrook, New York

Provider Information

NPI Number: 1407351596
Entity Type: Individual
Name: Kimberly Vitacco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 29, 2018
Last Updated: Mar 29, 2018

Practice Location

Address: 43 CATHERINE ST
City: Lynbrook
State: New York
ZIP Code: 11563-1230
Phone: (516) 236-9950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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