Individual
DR. JENNIFER VITTORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0914
(212) 305-4343
Mailing address
3959 BROADWAY # CHC7-702, NEW YORK, NY 10032-1559
(212) 305-5903
(212) 342-5756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
136710
DC
2080P0206X
Pediatric Gastroenterology Physician
PENDING
NY
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
257513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03978636
—
NY
Enumeration date
08/07/2008
Last updated
05/23/2022
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