Organization
VESTAL HEALTHCARE, LLC
Active
Other names
Lindenhurst Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E. CAPUTO (MEMBER)
(206) 816-6505
Entity
Organization
Contact information
Practice address
185 S 10TH ST, LINDENHURST, NY 11757-4505
(631) 956-6060
(631) 956-6070
Mailing address
185 S 10TH ST, LINDENHURST, NY 11757-4505
(631) 956-6060
(631) 956-6070
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
04/16/2015
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