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Contact Information

GERARD F VITALE, MD
1 SCHOOL STREET
SUITE 205
GLEN COVE, NY11542
 Phone: 516-759-5559
 Fax: 516-759-1671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GERARD F VITALE · (Male)

NPI Number 1396801759
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2006
Last updated 10/25/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 154983
  • NY Medicaid 01088288
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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