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Organization
VITAL MEDICAL CARE PLLC
Active
Organization
VITAL MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FITZCLAUD GRANT MD (MD)
(516) 488-3552
Entity
Organization
Contact information
Practice address
444 ELMONT RD, ELMONT, NY 11003-3529
(516) 488-3552
Mailing address
444 ELMONT RD, ELMONT, NY 11003-3529
(516) 488-3552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
06/03/2013
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