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Organization
1VITAL HEALTH LLC
Active
Organization
1VITAL HEALTH LLC
Active
Other names
1Vital Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKM RAHMAN MD DO (MANAGER)
(917) 365-5214
Entity
Organization
Contact information
Practice address
23 HADLEY CT, PITTSFORD, NY 14534-2838
(917) 365-5214
Mailing address
23 HADLEY CT, PITTSFORD, NY 14534-2838
(917) 365-5214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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