Vital, Joelle
Vital, Joelle is an individual health care provider with primary practice located at 953 Front St , Uniondale NY 11553-1543. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vital, Joelle can be contacted via phone (516) 414-1101.Contact Information
Primary practice address
953 Front St
Uniondale NY 11553-1543
Phone: (516) 414-1101
Fax: (516) 414-1131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 234089 | New York |
Profile Details
| NPI number | 1013070176 |
|---|---|
| LBN Legal business name | Vital, Joelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013070176 | NPPES |
| New York | MEDICAID | 03278948 |
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