| Vitality Medical, Pc | |
|
350 Old Country Rd Garden City NY 11530-1749 | |
| (516) 279-6578 | |
| Not Available |
| Full Name | Vitality Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Old Country Rd, Garden City, New York |
| Authorized Official Name and Position | Michael Richheimer (OWNER) |
| Authorized Official Contact | 5167619932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Medical, Pc 2942 Harbor Rd Merrick NY 11566-4611 Ph: () - | Vitality Medical, Pc 350 Old Country Rd Garden City NY 11530-1749 Ph: (516) 279-6578 |
| NPI Number | 1730457425 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730457425 | NPI | - | NPPES |
| 1285614107 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 174519 (New York) | Primary |
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