Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Vultaggio

Individual provider Specialist · NPI 1013317775

Anthony Vultaggio is a Specialist in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

90 Air Park Dr
Ronkonkoma, NY 11779-7360
Phone: (631) 580-4020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 833098141 (NY)

Record details

NPI number1013317775
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2014
Last updated in NPPESSeptember 1, 2014
Mailing address14 Forrest Ave, Centereach, NY 11720-3639

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