Individual provider · Type 1 NPI

Jessica Vitale, DDS

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1659064467 Active

Practice location

800 Poly Pl
Brooklyn, NY 11209-7104

Call (212) 686-7500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659064467

Jessica Vitale, DDS's National Provider Identifier is 1659064467, issued on May 29, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on May 29, 2023.