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Individual

TIMOTHY J VITTORIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1276 FULTON AVE RM 208, BRONX, NY 10456-3402
(171) 890-1891
(718) 901-8918
Mailing address
1276 FULTON AVE RM 208, BRONX, NY 10456-3402

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
211134
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02042340
NY
Enumeration date
09/23/2005
Last updated
01/25/2024
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