Vitoulis, M Joseph

Vitoulis, M Joseph is an individual health care provider with primary practice located at 120 Broadway , Lynbrook NY 11563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vitoulis, M Joseph can be contacted via phone (516) 593-0406.

Contact Information

Primary practice address
120 Broadway Lynbrook NY 11563
Phone: (516) 593-0406
Fax: (516) 593-0406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 205528 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 205528 New York

Profile Details

NPI number 1154402030
LBN Legal business name Vitoulis, M Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Sep 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154402030 NPPES
New York MEDICAID 01918905

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