National Provider Identifier
Charlene Vitale, M.D.
Charlene Vitale, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 424-3410.
Profile Overview
- NPI
- 1720099856
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- August 11, 2006
- Last Updated
- January 21, 2017
Practice Location
- 2561 Lac De Ville Blvd
- Ste 100
- Rochester, NY 14618-5645
Phone: (585) 424-3410
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1720099856
- Entity Type
- Individual
- Last Name
- Vitale
- First Name
- Charlene
- Credential
- M.D.
- Provider Other Last Name
- Conners
- Provider Other First Name
- Charlene
- Provider Other Middle Name
- V
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 2561 Lac De Ville Blvd
- Mailing Address Line 2
- Ste 100
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5645
- Mailing Country
- US
- Mailing Phone
- (585) 424-3410
- Mailing Fax
- (585) 214-0042
- Practice Street Address
- 2561 Lac De Ville Blvd
- Practice Address Line 2
- Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5645
- Practice Country
- US
- Practice Phone
- (585) 424-3410
- Practice Fax
- (585) 214-0042
- Enumeration Date
- August 11, 2006
- Last Updated
- January 21, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)