| Vital Health Medical Care, Pllc | |
|
23 Hadley Ct Pittsford NY 14534-2838 | |
| (917) 365-5214 | |
| Not Available |
| Full Name | Vital Health Medical Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 Hadley Ct, Pittsford, New York |
| Authorized Official Name and Position | Akm Ashfaqur Rahman (MANAGER) |
| Authorized Official Contact | 9173655214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Health Medical Care, Pllc 23 Hadley Ct Pittsford NY 14534-2838 Ph: (917) 365-5214 | Vital Health Medical Care, Pllc 23 Hadley Ct Pittsford NY 14534-2838 Ph: (917) 365-5214 |
| NPI Number | 1568087138 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 9638592736 |
|---|---|
| Medicare Enrollment ID | O20200708001593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568087138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| Provider Name | Sanin Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992953590 PECOS PAC ID: 4587701354 Enrollment ID: I20091027000776 |
| Provider Name | Akm A Rahman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568727121 PECOS PAC ID: 1759650542 Enrollment ID: I20181129002592 |
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