Vitale, Mary
Vitale, Mary is an sole proprietor health care provider with primary practice located at 52 Roman Ave , Staten Island NY 10314-2721. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Vitale, Mary can be contacted via phone (917) 586-2964.Contact Information
Primary practice address
52 Roman Ave
Staten Island NY 10314-2721
Phone: (917) 586-2964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 022956-1 | New York |
Profile Details
| NPI number | 1700130101 |
|---|---|
| LBN Legal business name | Vitale, Mary |
| Credentials | M.S. CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2012 |
| Last updated | May 2nd, 2017 - about 9 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 | 1700130101 | NPPES |
| New York | MEDICAID | 03764472 |
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