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

Marie Michelle Vitullo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093108284

Marie Michelle Vitullo is a Student in an Organized Health Care Education/Training Program in Buffalo, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3495 Bailey Ave
Buffalo, NY 14215-1129
Phone: (716) 862-7804
Show map & directions

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

Additional practice locations (1)

  • 2060 Fairport Nine Mile Point Rd, Penfield, NY 14526-1749 — (585) 377-5810

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 058504 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093108284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2015
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

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