ELLEN VITIEVSKY

WEST NEW YORK, NJ
NPI1366547135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA07786200)
Enumeration Date2006-09-14
Last Update Date2007-11-29
Business Address
-- ELLEN VITIEVSKY
5600 KENNEDY BLVD W SUITE 102
WEST NEW YORK, NJ 07093-1256
Phone number: 201-866-3100
Mailing Address
-- ELLEN VITIEVSKY
PO BOX 7664
NORTH BRUNSWICK, NJ 08902-7664
Phone number: 201-866-3100