| Vita Medical Pc | |
|
7605 113th Street Forest Hills NY 11375-1200 | |
| (718) 648-5858 | |
| (718) 375-2735 |
| Full Name | Vita Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7605 113th Street, Forest Hills, New York |
| Authorized Official Name and Position | Sergey Voskin (OWNER) |
| Authorized Official Contact | 7186485858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Medical Pc 7605 113th Street Forest Hills NY 11375-1200 Ph: (718) 648-5858 | Vita Medical Pc 7605 113th Street Forest Hills NY 11375-1200 Ph: (718) 648-5858 |
| NPI Number | 1316229297 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316229297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 226577 (New York) | Primary |
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