Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stephanie Jennifer Vitellaro, PA-C

Individual provider Physician Assistant · NPI 1710683115

MS. Stephanie Jennifer Vitellaro, PA-C is a Physician Assistant in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (646) 929-7800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 029542 (NY)

Record details

NPI number1710683115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

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