Individual
ASHLEY ERIN VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 CAROL AVE, FARMINGVILLE, NY 11738-1470
(631) 721-1866
Mailing address
7 CAROL AVE, FARMINGVILLE, NY 11738-1470
(631) 721-1866
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296794
NY
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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