Individual
DR. MARIE PAUROSO VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 JEFFERSON RD, SUITE 100, ROCHESTER, NY 14623
(585) 413-1800
Mailing address
1060 DAY HILL RD, WINDSOR, CT 06095-5719
(860) 683-2690
(860) 683-2670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
045663
CT
207Q00000X
Family Medicine Physician
Primary
292050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558445726
NPI
CT
Enumeration date
10/24/2006
Last updated
06/30/2023
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