Provider Demographics
NPI:1386820983
Name:VITTO, ANTONIO (DPT)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:
Last Name:VITTO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 WOODHULL AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-6419
Mailing Address - Country:US
Mailing Address - Phone:718-652-6432
Mailing Address - Fax:718-652-5107
Practice Address - Street 1:2232 WOODHULL AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-6419
Practice Address - Country:US
Practice Address - Phone:718-652-3432
Practice Address - Fax:718-652-3432
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030018225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist