Individual provider · Type 1 NPI
Lisa Ann Vitale, DC
Chiropractor · Staten Island, NY
NPI number
1114686763
Active
Practice location
1235 Forest Hill Rd Ste C1
Staten Island, NY 10314-6314
Fax (718) 987-2277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 013542 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
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About NPI 1114686763
Lisa Ann Vitale, DC's National Provider Identifier is 1114686763, issued on Dec 10, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 10, 2021.