Individual
DR. LISA ANN VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1235 FOREST HILL RD STE C1, STATEN ISLAND, NY 10314-6314
(718) 987-2273
(718) 987-2277
Mailing address
1235 FOREST HILL RD STE C1, STATEN ISLAND, NY 10314-6314
(718) 987-2273
(718) 987-2277
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013542
NY
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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