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Kasey Ann Vitale
Specialist in Medford, New York
NPI 1083975932

Kasey Ann Vitale is a Specialist based in South Setauket, NY. Kasey Ann Vitale practices in Medford, NY. The NPI Number for Kasey Ann Vitale is 1083975932 and holds a License No. 582722111 (New York).

The current practice location address for Kasey Ann Vitale is 1 Scouting Blvd, Medford, NY and can be reached out via phone at 631-297-3202.

Location: 1 Scouting Blvd, Medford, NY, 11720-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083975932
Provider Name
Kasey Ann Vitale
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Scouting Blvd, Medford, NY, 11720-1116
Phone Number
631-297-3202
Fax Number
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Scouting Blvd
City
Medford
State
New York
Zip
11763-2220
Phone Number
631-297-3202
Fax Number
person
Provider Business Mailing Address Details
Address
1 Scouting Blvd
City
Medford
State
New York
Zip
11763-2220
Phone Number
631-297-3202
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
582722111 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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