Vitale-Weiss, Dawn

Vitale-Weiss, Dawn is an individual health care provider with primary practice located at 1200A Hempstead Tpke , Franklin Square NY 11010-1534. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Vitale-Weiss, Dawn can be contacted via phone (516) 328-1717.

Contact Information

Primary practice address
1200A Hempstead Tpke Franklin Square NY 11010-1534
Fax: (516) 328-1627
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21576 New York

Profile Details

NPI number 1326285719
LBN Legal business name Vitale-Weiss, Dawn
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2009
Last updated Jan 4th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326285719 NPPES
New York MEDICAID 01013818

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