Organization
VESTAL HEALTHCARE, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
CORAM DIALYSIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1500 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3500
(631) 716-8758
(631) 716-2423
Mailing address
1500 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3500
(631) 716-8758
(631) 716-2423
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04286417
—
NY
Enumeration date
01/22/2015
Last updated
10/19/2023
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