Vista Medical

NPI 1770991788 - Clinic/Center - 261QP2000X

NPI Details
NPI 1770991788
Enumeration Date 07/23/2014
Last Updated 07/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ABIOLA ABIOLA
Position PHYSIATRIST
Phone (718) 733-1000
Fax
Practice Location
2488 GRAND CONCOURSE
BRONX NY, 10458-5203, US
Phone (718) 733-1000
Fax
Business Location
1428 30TH AVE
ASTORIA NY, 11102-3641, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State New York
License Number 032642
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According to our database, Vista Medical NPI is 1770991788, taxonomy code is 261QP2000X and license number is 032642, license state is located at New York. Vista Medical physically located at 2488 Grand Concourse, Bronx NY, 10458-5203. NPI Number 1033115704 has the healthcare provider type.

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1770991788 NPI number is provided on an as is basis without warranty of any kind. 1770991788 is maintained by the National Plan & Provider Enumeration System. The contents of Vista Medical are for informational purposes only.