| Vibrant Life Llc | |
|
32 Bridge St Ste 103, Brooklyn, NY 11201-1171 | |
| (646) 706-7366 | |
| (646) 706-7366 |
| Full Name | Vibrant Life Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 32 Bridge St Ste 103, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073260659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Daniel La Montagne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326098831 PECOS PAC ID: 7719037381 Enrollment ID: I20090603000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Life Llc 32 Bridge St Ste 103, Brooklyn, NY 11201-1171 Ph: (516) 425-5841 | Vibrant Life Llc 32 Bridge St Ste 103, Brooklyn, NY 11201-1171 Ph: (646) 706-7366 |
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