Individual
CHRISTINA VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
108 COMMODORE CIR, PORT JEFFERSON STATION, NY 11776-2266
(631) 219-4359
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311314
NY
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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