Individual
DR. MICHAEL VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MARCUS AVE STE 110, LAKE SUCCESS, NY 11042-1113
(516) 622-7485
Mailing address
2800 MARCUS AVE STE 110, LAKE SUCCESS, NY 11042-1113
(516) 622-7485
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
27742
NY
Other
Enumeration date
09/01/2009
Last updated
04/01/2019
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