Individual
MISS ANGELA N VITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5981
Mailing address
65 BEDFORD ST APT A6, STAMFORD, CT 06901-1903
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86091238
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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