Organization
VITALITY PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL CABISUDO M.D. (PARTNER)
(866) 931-9812
Entity
Organization
Contact information
Practice address
135 WOODLAWN AVE, ALBANY, NY 12208-2912
(866) 931-9812
(866) 942-1556
Mailing address
135 WOODLAWN AVE, ALBANY, NY 12208-2912
(866) 931-9812
(866) 942-1666
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
087626
NY
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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