Vital Medical Pc

NPI 1851678692 - Physical Therapist - 225100000X

NPI Details
NPI 1851678692
Enumeration Date 11/08/2011
Last Updated 11/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DMITRY DMITRY
Position PRESIDENT
Phone (718) 676-1743
Fax (718) 676-1746
Practice Location
1599 E 15TH ST
BROOKLYN NY, 11230-6759, US
Phone (718) 676-1743
Fax (718) 676-1746
Business Location
2812 E 28TH ST
BROOKLYN NY, 11235-2204, US
Phone (718) 676-1743
Fax (718) 676-1746
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Vital Medical Pc NPI is 1851678692, taxonomy code is 225100000X Vital Medical Pc physically located at 1599 E 15th St, Brooklyn NY, 11230-6759. NPI Number 1033115704 has the healthcare provider type.

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1851678692 NPI number is provided on an as is basis without warranty of any kind. 1851678692 is maintained by the National Plan & Provider Enumeration System. The contents of Vital Medical Pc are for informational purposes only.