Individual
JEFFREY ANTHONY VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
28 MAPLE AVE, ARMONK, NY 10504-1824
(917) 471-2001
Mailing address
94 COLUMBUS AVE, VALHALLA, NY 10595-1704
(917) 471-2001
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
021986
NY
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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