Organization
VESTAL HEALTHCARE, LLC
Active
Other names
Freedom Center of Binghamton
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CAPUTO (PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1651
(607) 772-0419
(607) 772-0457
Mailing address
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1651
(607) 772-0419
(607) 772-0457
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
01/27/2016
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