| Organization Name: | JOSEPH VITOULIS D.O.,P.C. |
| NPI Number: | 1497956387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNNMARIE CASTELLANO (OFFICE MANAGER) |
| Mailing Address: | 120 Broadway Lynbrook |
| State: | NY US |
| Postal Code: | 115633233 |
| Phone Number: | 5165999355 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 205528 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |