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Organization
VITALITY MEDICAL, PC
Active
Organization
VITALITY MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RICHHEIMER (OWNER)
(516) 761-9932
Entity
Organization
Contact information
Practice address
350 OLD COUNTRY RD, GARDEN CITY, NY 11530-1749
(516) 279-6578
Mailing address
2942 HARBOR RD, MERRICK, NY 11566-4611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
174519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285614107
NPI
NY
Enumeration date
12/08/2011
Last updated
12/08/2011
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