Organization
KENNETH C VITALE MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH C VITALE M.D. (OWNER)
(212) 575-8910
Entity
Organization
Contact information
Practice address
15 W 44TH ST, 10TH FLOOR, NEW YORK, NY 10036-6611
(212) 575-8910
(212) 575-1830
Mailing address
15 W 44TH ST, 10TH FLOOR, NEW YORK, NY 10036-6611
(212) 575-8910
(212) 575-1830
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
228760
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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