Organization
PRESTIGE IV HEALTH & WELLNESS
Active
Other names
Vital Infusions
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN MEROUANE (ADMINISTRATOR)
(347) 306-0338
Entity
Organization
Contact information
Practice address
1325 FRANKLIN AVE, GARDEN CITY, NY 11530-1666
(347) 306-0338
Mailing address
243 TRAVIS AVE, ELMONT, NY 11003-3040
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
09/07/2022
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