Organization
VITAL HEALTH MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKM ASHFAQUR RAHMAN MD, DO (MEMBER/MANAGER)
(917) 365-5214
Entity
Organization
Contact information
Practice address
23 HADLEY CT, PITTSFORD, NY 14534-2838
(917) 365-5214
Mailing address
23 HADLEY CT, PITTSFORD, NY 14534-2838
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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