Individual
ASHLEY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 FOXHALL AVE, KINGSTON, NY 12401-5107
(184) 533-8153
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034067-01
NY
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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