Organization
VITAL MEDI
Active
Organization
VITAL MEDI
Active
Other names
Vital Medi
Organization subpart
No
Provider details
NPI number
Authorized official
EHSAN BUTT (MGR)
(631) 838-5320
Entity
Organization
Contact information
Practice address
1797 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1537
(631) 838-5320
Mailing address
1797 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1537
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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