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Contact Information

GEORGE R VITO, DPM
8745 LAKE STREET RD
LE ROY, NY14482
 Phone: 585-297-9761
 Fax: 585-672-9100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GEORGE R VITO · (Male)

NPI Number 1003888298
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/02/2006
Last updated 08/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 330
  • NY License # N005120
  • PA License # SC004333
  • NC Medicaid 5917998
  • NY Medicaid 03157146
  • NY Other J300533759 MEDICARE PTAN
Hospital affiliation(s) Not Available
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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