Provider Demographics
NPI:1225314800
Name:VITTI, ABBY ELIZABETH (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:ELIZABETH
Last Name:VITTI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1770 MOTOR PKWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5260
Mailing Address - Country:US
Mailing Address - Phone:631-582-0088
Mailing Address - Fax:631-582-0405
Practice Address - Street 1:1770 MOTOR PKWY
Practice Address - Street 2:SUITE 202
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-5260
Practice Address - Country:US
Practice Address - Phone:631-582-0088
Practice Address - Fax:631-582-0405
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist