Individual provider · Type 1 NPI

Kasey Ann Vitale

Specialist · Medford, NY

NPI number 1083975932 Active

Practice location

1 Scouting Blvd
Medford, NY 11763-2220

Call (631) 297-3202 Map

Mailing address

80 Balin Ave
South Setauket, NY 11720-1116

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X582722111 (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 1083975932

Kasey Ann Vitale's National Provider Identifier is 1083975932, issued on Jun 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Medford, NY. The record was last updated on Jun 6, 2012.