MEDICARE: JOSE VITO 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	2084P0804X	Child & Adolescent Psychiatry Physician	238122	NY

General Provider Information

NPI Number	:	1639246192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE VITO M.D.

Provider Business Mailing Address
First Line	:	4136 27TH ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-3825
Country	:	US
Telephone Number	:	718-389-5100
Fax Number	:	718-391-9633

Provider Business Practice Location Address
First Line	:	4136 27TH ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-3825
Country	:	US
Telephone Number	:	718-389-5100
Fax Number	:	718-391-9633

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1083760409 — JILLNEE BEASLEY LCSW
Practice Location Address:

4136 27TH ST
LONG ISLAND CITY, NY
11101-3825

Practice Phone: 718-389-5100
Practice Fax:

1871649293 — MONA WAKELEY-FISHMAN LCSW
Practice Location Address:

4136 27TH ST
LONG ISLAND CITY, NY
11101-3825

Practice Phone: 718-389-5100
Practice Fax:

1669518148 — DEBORAH FRIEDLANDER LMSW
Practice Location Address:

4136 27TH ST
LONG ISLAND CITY, NY
11101-3825

Practice Phone: 718-389-5100
Practice Fax:

1306982756 — PASQUALE DEPETRIS PH.D
Practice Location Address:

4136 27TH ST
LONG ISLAND CITY, NY
11101-3825

Practice Phone: 718-389-5100
Practice Fax:

1649311556 — DR. LANA FARINA PSYD
Practice Location Address:

4140 27TH ST , THE FLOATING HOSPITAL
LONG ISLAND CITY, NY
11101-3825

Practice Phone: 718-784-2240
Practice Fax:

1275666257 — DR. MICHAEL CHANG M.D.
Practice Location Address:

4140 27TH ST
LONG ISLAND CITY, NY
11101-3825

Practice Phone: 718-784-2240
Practice Fax: 347-579-0518

Directions to “ JOSE VITO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.