Vitiello, Stacey

Vitiello, Stacey is an individual health care provider with primary practice located at 360 Bard Ave , Staten Island NY 10310-1666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Vitiello, Stacey can be contacted via phone (718) 876-2000.

Contact Information

Primary practice address
360 Bard Ave Staten Island NY 10310-1666
Fax: (718) 876-2006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 211696-1 New York

Profile Details

NPI number 1245203611
LBN Legal business name Vitiello, Stacey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 14th, 2008 - 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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