# AMERICAN VITAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA AMERICAN OXYGEN COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588637995
- **Authorized official:** MR. LESLIE A GREENFIELD (SECRETARY)
- **Authorized official phone:** (631) 243-0808

## Contact information

- **Practice address:** 1011 GRAND BLVD, DEER PARK, NY 11729-5730
- **Practice address phone:** (631) 243-0808
- **Practice address fax:** (800) 599-0122
- **Mailing address:** 1011 GRAND BLVD, DEER PARK, NY 11729-5730
- **Mailing address phone:** (631) 243-0808
- **Mailing address fax:** (800) 599-0122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NY | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01357097 | — | NY |
| 01 | — | 124939 | AETNA | NY |
| 01 | — | 20493 | VYTRA | NY |
| 01 | — | ANC1732 | OXFORD | NY |