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Individual

DR. JENNIFER VITTORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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