Vitale, Gerard F
Vitale, Gerard F is an sole proprietor health care provider with primary practice located at 1 School Street Suite 205, Glen Cove NY 11542. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Vitale, Gerard F can be contacted via phone (516) 759-5559.Contact Information
Primary practice address
1 School Street Suite 205
Glen Cove NY 11542
Phone: (516) 759-5559
Fax: (516) 759-1671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 154983 | New York |
Profile Details
| NPI number | 1396801759 |
|---|---|
| LBN Legal business name | Vitale, Gerard F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Oct 25th, 2023 - about last year |
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 | 1396801759 | NPPES |
| New York | MEDICAID | 01088288 |
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