| NPI | 1558876268 |
|---|---|
| Doing Business As | ANTONINA VITALE |
| Entity Type | Organization |
| Authorized Contact | ANTONINA VITALE Owner 917-627-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007245) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-03-17 |