Provider Demographics
NPI:1932372042
Name:AMITRANO, VITO (STUDENT)
Entity Type:Individual
Prefix:MR
First Name:VITO
Middle Name:
Last Name:AMITRANO
Suffix:
Gender:M
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1376 MIDLAND AVE APT 804
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6893
Mailing Address - Country:US
Mailing Address - Phone:914-237-3133
Mailing Address - Fax:
Practice Address - Street 1:1376 MIDLAND AVE APT 804
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-6893
Practice Address - Country:US
Practice Address - Phone:914-237-3733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program