Individual
DR. STACEY VITIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Mailing address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
211696-1
NY
Other
Enumeration date
02/08/2006
Last updated
01/14/2008
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