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Marie Vital

NPI 1801484019 · on the registry since 2021

Practice

Address
10932 217th St
Queens Village, NY 11429
Phone
(917) 592-5155

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York