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Organization
VITALITY PHYSICIANS GROUP PRACTICE PC
Active
Organization
VITALITY PHYSICIANS GROUP PRACTICE PC
Active
Other names
Vitality Psychiatry Group Practice PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL TAN CABISUDO (CEO)
(518) 691-0732
Entity
Organization
Contact information
Practice address
3125 ROUTE 9W, SUITE 204, NEW WINDSOR, NY 12553-6764
(914) 502-3998
(518) 708-6889
Mailing address
3125 ROUTE 9W STE 204, NEW WINDSOR, NY 12553-6764
(914) 502-3998
(518) 708-6889
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
257905
NY
Other
Enumeration date
03/23/2011
Last updated
09/26/2023
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