National Provider Identifier
Marie Michelle Vitullo
Marie Michelle Vitullo is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 862-7804.
Profile Overview
- NPI
- 1093108284
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 11, 2015
- Last Updated
- May 11, 2021
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-7804
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- mvitullo302861@direct.rochesterregional.org
Direct Messaging Address | Penfield, NY 14526
Full Record
- NPI
- 1093108284
- Entity Type
- Individual
- Last Name
- Vitullo
- First Name
- Marie
- Middle Name
- Michelle
- Mailing Street Address
- 3495 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1129
- Mailing Country
- US
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-7804
- Enumeration Date
- March 11, 2015
- Last Updated
- May 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)