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Individual

MRS. AMBER VITALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
232 MERRICK RD, LYNBROOK, NY 11563-2623
(516) 594-5961
Mailing address
4 MAIDEN LN, LYNBROOK, NY 11563-3217
(347) 586-4932

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
341593
NY
364SF0001X
Family Health Clinical Nurse Specialist
Primary
341593
NY

Other

Enumeration date
05/01/2017
Last updated
01/29/2019
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