# DR. GEORGE ROBERT VITO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003888298
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 330 | NC | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N005120 | NY | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004333 | PA | — |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 08/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03157146 | — | NY |
| 05 | — | 5917998 | — | NC |
| 01 | — | J300533759 | MEDICARE PTAN | NY |