Provider Demographics
NPI:1437178332
Name:VITT, EAMONN (MD)
Entity Type:Individual
Prefix:
First Name:EAMONN
Middle Name:
Last Name:VITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 FIFTH AVENUE STE 1E
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-674-8777
Mailing Address - Fax:347-287-6907
Practice Address - Street 1:30 FIFTH AVENUE STE 1E
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-674-8777
Practice Address - Fax:347-287-6907
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233642207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine