Vista Medical Services, Pc | |
26 Firemens Memorial Dr Ste 115 Pomona NY 10970-3569 | |
(845) 362-8400 | |
Not Available |
Full Name | Vista Medical Services, Pc |
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Speciality | Internal Medicine |
Location | 26 Firemens Memorial Dr Ste 115, Pomona, New York |
Authorized Official Name and Position | E. Lance Coburn (OWNER) |
Authorized Official Contact | 2124104400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vista Medical Services, Pc 1990 Lexington Ave New York NY 10035-2902 Ph: (212) 410-4400 | Vista Medical Services, Pc 26 Firemens Memorial Dr Ste 115 Pomona NY 10970-3569 Ph: (845) 362-8400 |
NPI Number | 1518258391 |
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Provider Enumeration Date | 04/27/2011 |
Last Update Date | 04/27/2011 |
Identifier | Type | State | Issuer |
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1518258391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 198832 (New York) | Primary |
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