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

Dr. Lisa Ann Vitale, DC

Individual provider Chiropractor · NPI 1114686763

Dr. Lisa Ann Vitale, DC is a Chiropractic in Staten Island, New York. Graduated from New York Chiropractic College in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Trained at
New York Chiropractic College
Licensed in
NY
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1235 Forest Hill Rd Ste C1
Staten Island, NY 10314-6314
Phone: (718) 987-2273
Fax: (718) 987-2277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 013542 (NY)

Record details

NPI number1114686763
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 10, 2021
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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