| Regina E. Vitale Lcsw P.c. | |
|
205 Oakview Ave Farmingdale NY 11735-3710 | |
| (917) 655-3509 | |
| Not Available |
| Full Name | Regina E. Vitale Lcsw P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 205 Oakview Ave, Farmingdale, New York |
| Authorized Official Name and Position | Regina E. Vitale-mercado (OWNER) |
| Authorized Official Contact | 9176553509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina E. Vitale Lcsw P.c. 3864 Hollis Ln Seaford NY 11783-2031 Ph: (917) 655-3509 | Regina E. Vitale Lcsw P.c. 205 Oakview Ave Farmingdale NY 11735-3710 Ph: (917) 655-3509 |
| NPI Number | 1376175539 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376175539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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