Vitagliano, Joseph Michael

Vitagliano, Joseph Michael is an sole proprietor health care provider with primary practice located at 1145 Montauk Hwy , West Islip NY 11795-4909. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Vitagliano, Joseph Michael can be contacted via phone (631) 661-3025.

Contact Information

Primary practice address
1145 Montauk Hwy West Islip NY 11795-4909
Phone: (631) 661-3025
Fax: (631) 661-2095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 046229-1 New York

Profile Details

NPI number 1861593485
LBN Legal business name Vitagliano, Joseph Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1861593485 NPPES
New York MEDICAID 01773766

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