| Vital Medical Diagnostics,pc | |
|
713 Yonkers Ave Yonkers NY 10704 | |
| (914) 375-6600 | |
| (914) 377-1366 |
| Full Name | Vital Medical Diagnostics,pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 713 Yonkers Ave, Yonkers, New York |
| Authorized Official Name and Position | Ilya Yakov Burshteyn (OWNER) |
| Authorized Official Contact | 9143756600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Medical Diagnostics,pc 713 Yonkers Ave Yonkers NY 10704-2657 Ph: (914) 375-6600 | Vital Medical Diagnostics,pc 713 Yonkers Ave Yonkers NY 10704 Ph: (914) 375-6600 |
| NPI Number | 1144607995 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144607995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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