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Kasey Vitale
NPI 1083975932 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1 Scouting Blvd
Medford, NY 11763 - Phone
- (631) 297-3202
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York