Individual
DIANNE MARIE VITKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-5111
Mailing address
4104 HIGHLAND AVE, SKANEATELES, NY 13152-9461
(315) 406-5804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/12/2023
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