MARY VITALE

STATEN ISLAND, NY
NPI1700130101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  022956-1)
Enumeration Date2012-11-07
Last Update Date2017-05-02
Business Address
-- MARY VITALE M.S. CCC SLP
52 ROMAN AVE
STATEN ISLAND, NY 10314-2721
Phone number: 917-586-2964
Mailing Address
-- MARY VITALE M.S. CCC SLP
52 ROMAN AVE
STATEN ISLAND, NY 10314-2721
Phone number: 917-586-2964
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