| Mr Stephen David Vitale, PA | |
|
11110 Jamaica Ave, Richmond Hill, NY 11418-2322 | |
| (718) 847-2688 | |
| (718) 847-2627 |
| Full Name | Mr Stephen David Vitale |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 11110 Jamaica Ave, Richmond Hill, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275643470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 006447 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emerest Home Health Care Of Long Island | Flushing, NY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Queens Professional Medical Care Pc | 5991693442 | 2 |
| Entity Name | Queens Professional Medical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326158536 PECOS PAC ID: 5991693442 Enrollment ID: O20040324001423 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen David Vitale, PA 58 Buckingham Pl, Lynbrook, NY 11563-1835 Ph: (516) 599-4475 | Mr Stephen David Vitale, PA 11110 Jamaica Ave, Richmond Hill, NY 11418-2322 Ph: (718) 847-2688 |
Jose Sebastian Peralta, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 845-826-3168 |
Tasnia Aziz, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 347-209-2637 |
Kiran Kazmi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8628 131st St, Richmond Hill, NY 11418 Phone: 516-939-7260 |
Ms. Padma Persaud, RPA Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 02 107 Avenue, Richmond Hill, NY 11419 Phone: 718-323-2435 |
Deandre Eccles, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 347-513-7362 |
Yosif Arabov, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 119 03 101st Avenue, Richmond Hill, NY 11419 Phone: 718-441-0184 Fax: 718-441-8098 |
Jacqueline Hermes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000 |