Individual
MR. ALEX N VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
258 HOOSICK ST, SUITE 100, TROY, NY 12180-2444
(518) 272-0232
(518) 272-4083
Mailing address
501 NEW KARNER RD, SUITE 1A, ALBANY, NY 12205-3882
(518) 452-1337
(518) 724-6660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018731
NY
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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