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NPI Code Detail

MEDICARE: MS. ANNE VITIELLO LCSW

MEDICARE: MS. ANNE VITIELLO LCSW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor070024NY

General Provider Information

NPI Number : 1457302036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNE VITIELLO LCSW
Provider Business Mailing Address
First Line : 8 E MAYER DR
Second Line :
City : SUFFERN
State : NY
Zip : 10901-3402
Country : US
Telephone Number : 201-265-8200
Fax Number : 201-265-0366
Provider Business Practice Location Address
First Line : 610 VALLEY HEALTH PLZ
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3607
Country : US
Telephone Number : 201-265-8200
Fax Number : 201-265-0366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 03/11/2010

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