| Vitality In Aging Psychiatry, Pllc | |
|
141 Sullys Trl Ste 5a Pittsford NY 14534-4563 | |
| (585) 474-9534 | |
| Not Available |
| Full Name | Vitality In Aging Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 141 Sullys Trl Ste 5a, Pittsford, New York |
| Authorized Official Name and Position | Adam Simning (OWNER) |
| Authorized Official Contact | 5854749534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality In Aging Psychiatry, Pllc 18 Whittlers Rdg Pittsford NY 14534-4524 Ph: (585) 474-9534 | Vitality In Aging Psychiatry, Pllc 141 Sullys Trl Ste 5a Pittsford NY 14534-4563 Ph: (585) 474-9534 |
| NPI Number | 1710683842 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 4789057019 |
|---|---|
| Medicare Enrollment ID | O20230307000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710683842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Adam C Simning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447592415 PECOS PAC ID: 8022308949 Enrollment ID: I20170803002512 |
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