MEDICARE: TIMOTHY J VITTORIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	211134	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427044536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY J VITTORIO M.D.

Provider Business Mailing Address
First Line	:	1276 FULTON AVE RM 208
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1276 FULTON AVE RM 208
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3402
Country	:	US
Telephone Number	:	171-890-1891
Fax Number	:	718-901-8918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	01/25/2024

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