Organization
VESTAL HEALTHCARE LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
Freedom Center of Queens
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MR. MARK CAPUTO (PRESIDENT)
(206) 816-6505
Entity
Organization
Contact information
Practice address
17627 UNION TPKE, FRESH MEADOWS, NY 11366-1515
(718) 969-3293
(718) 969-3927
Mailing address
17627 UNION TPKE, FRESH MEADOWS, NY 11366-1515
(718) 969-3293
(718) 969-3927
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NY
Other
Enumeration date
02/05/2015
Last updated
10/27/2016
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