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Organization
REGINA E. VITALE LCSW P.C.
Active
Organization
REGINA E. VITALE LCSW P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA E. VITALE-MERCADO LCSW-R (OWNER)
(917) 655-3509
Entity
Organization
Contact information
Practice address
205 OAKVIEW AVE, FARMINGDALE, NY 11735-3710
(917) 655-3509
Mailing address
3864 HOLLIS LN, SEAFORD, NY 11783-2031
(917) 655-3509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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