Vitastat Medical Pllc

NPI 1811232770 - Clinic/Center - 261QM2500X

NPI Details
NPI 1811232770
Enumeration Date 12/04/2012
Last Updated 12/04/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KEN KEN
Position MANAGER
Phone (917) 300-8296
Fax (917) 300-8296
Practice Location
2322 BROADWAY
ASTORIA NY, 11106-4196, US
Phone (917) 300-8296
Fax (917) 300-8296
Business Location
8738 20TH AVE
BROOKLYN NY, 11214-4802, US
Phone (917) 300-8296
Fax (917) 300-8296
Toxanomy
Taxonomy Code 261QM2500X
License State New York
License Number 254736
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According to our database, Vitastat Medical Pllc NPI is 1811232770, taxonomy code is 261QM2500X and license number is 254736, license state is located at New York. Vitastat Medical Pllc physically located at 2322 Broadway, Astoria NY, 11106-4196. NPI Number 1033115704 has the healthcare provider type.

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1811232770 NPI number is provided on an as is basis without warranty of any kind. 1811232770 is maintained by the National Plan & Provider Enumeration System. The contents of Vitastat Medical Pllc are for informational purposes only.