Organization
VISION VIBRANT MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI PAL MD (OWNER)
(646) 714-8977
Entity
Organization
Contact information
Practice address
86 MAIN ST STE 2, YONKERS, NY 10701-8806
(914) 440-3210
Mailing address
86 MAIN ST STE 2, YONKERS, NY 10701-8806
(914) 440-3210
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244649
LICENSE NUMBER
NY
01
—
A300215458
PTAN
NY
Enumeration date
11/23/2020
Last updated
12/08/2020
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