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Individual

ANGELINA VITALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
80 ARKAY DR STE 230, HAUPPAUGE, NY 11788-3705
(888) 985-5455
Mailing address
80 ARKAY DR STE 230, HAUPPAUGE, NY 11788-3705

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
203242
NY

Other

Enumeration date
06/03/2021
Last updated
06/03/2021
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