Individual
ASHLEY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 NORTH DR, NORTH MASSAPEQUA, NY 11758-1439
(516) 241-4351
Mailing address
136 NORTH DR, NORTH MASSAPEQUA, NY 11758-1439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037776
NY
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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