Individual provider · Type 1 NPI

Anthony Vultaggio

Specialist · Ronkonkoma, NY

NPI number 1013317775 Active

Practice location

90 Air Park Dr
Ronkonkoma, NY 11779-7360

Call (631) 580-4020 Map

Mailing address

14 Forrest Ave
Centereach, NY 11720-3639

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X833098141 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013317775

Anthony Vultaggio's National Provider Identifier is 1013317775, issued on Sep 1, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Sep 1, 2014.