Individual
DR. MICHAEL G VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, 8TH FLOOR, NEW YORK, NY 10032-1559
(212) 305-4565
Mailing address
PO BOX 26691, NEW YORK, NY 10087-6691
(212) 305-7319
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
203658-01
NY
207X00000X
Orthopaedic Surgery Physician
25MA07375200
NJ
Other
Enumeration date
07/04/2006
Last updated
12/23/2024
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