Individual
CHARLENE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2561 LAC DE VILLE BLVD, STE 100, ROCHESTER, NY 14618-5645
(585) 424-3410
(585) 214-0042
Mailing address
2561 LAC DE VILLE BLVD, STE 100, ROCHESTER, NY 14618-5645
(585) 424-3410
(585) 214-0042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186511
NY
Other
Enumeration date
08/11/2006
Last updated
01/21/2017
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