Vital Medical Care Aesthetics P.c. | |
2209 Merrick Rd Ste 202 Merrick NY 11566-4770 | |
(516) 414-1101 | |
(516) 414-1131 |
Full Name | Vital Medical Care Aesthetics P.c. |
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Speciality | Clinic/Center |
Location | 2209 Merrick Rd Ste 202, Merrick, New York |
Authorized Official Name and Position | Joelle Vital (OWNER) |
Authorized Official Contact | 5164141101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vital Medical Care Aesthetics P.c. 17 W Oak St Amityville NY 11701-2960 Ph: (631) 608-1192 | Vital Medical Care Aesthetics P.c. 2209 Merrick Rd Ste 202 Merrick NY 11566-4770 Ph: (516) 414-1101 |
NPI Number | 1942515663 |
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Provider Enumeration Date | 08/18/2010 |
Last Update Date | 02/04/2025 |
Medicare PECOS PAC ID | 4688866627 |
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Medicare Enrollment ID | O20101008000051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942515663 | NPI | - | NPPES |
02687236 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 234089 (New York) | Primary |
Provider Name | Joelle Vital |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013070176 PECOS PAC ID: 7113984782 Enrollment ID: I20041215000407 |
Provider Name | Thara Foreste |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508986571 PECOS PAC ID: 6002825494 Enrollment ID: I20190307001634 |
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