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Individual
TERESA ERRIGO VITALE
Active
Individual
TERESA ERRIGO VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0089441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008944
HIP
—
01
—
106839000
DEPT OF LABOR
NY
01
—
112657605
US HEALTHCARE
—
01
—
2C2669
HEALTHNET
—
01
—
64142
VYTRA
—
01
—
90754
AETNA
—
01
—
P00364303
RR MEDICARE
NY
Enumeration date
01/12/2006
Last updated
08/11/2010
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