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

Individual provider Specialist · NPI 1417381427

Jenna Marie Vitale, MSED is a Specialist in Long Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

420 Shore Rd Apt 1E
Long Beach, NY 11561
Phone: (516) 790-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1134654 (NY)

Record details

NPI number1417381427
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedAugust 27, 2013
Last updated in NPPESAugust 27, 2013

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