# VISION VIBRANT MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922634518
- **Authorized official:** REBECCA MAMMO MD (OWNER)
- **Authorized official phone:** (718) 680-8881

## Contact information

- **Practice address:** 837 59TH ST, BROOKLYN, NY 11220-3611
- **Practice address phone:** (718) 680-8881
- **Practice address fax:** (718) 680-7880
- **Mailing address:** 837 59TH ST, BROOKLYN, NY 11220-3611
- **Mailing address phone:** (718) 680-8881
- **Mailing address fax:** (718) 680-7880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2020
- **Last updated:** 03/16/2020