Individual
MR. ROBERT STEVEN VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
3 IBSEN AVE, STATEN ISLAND, NY 10312-1915
(917) 202-1389
Mailing address
3 IBSEN AVE, STATEN ISLAND, NY 10312-1915
(917) 202-1389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5506
NY
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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