Individual provider · Type 1 NPI

Casey Vitale

Specialist · Coram, NY

NPI number 1265724397 Active

Practice location

9 Winside Ln
Coram, NY 11727-1134

Call (631) 834-8539 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1265724397

Casey Vitale's National Provider Identifier is 1265724397, issued on May 9, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coram, NY. The record was last updated on May 9, 2011.