# 1VITAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 1Vital Health, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578035614
- **Authorized official:** DR. AKM RAHMAN MD DO (MANAGER)
- **Authorized official phone:** (917) 365-5214

## Contact information

- **Practice address:** 23 HADLEY CT, PITTSFORD, NY 14534-2838
- **Practice address phone:** (917) 365-5214
- **Mailing address:** 23 HADLEY CT, PITTSFORD, NY 14534-2838
- **Mailing address phone:** (917) 365-5214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/31/2018
- **Last updated:** 12/31/2018