Organization
VESTAL HEALTHCARE, LLC
Active
Other names
Freedom Center of Bronx
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CAPUTO (PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1776 EASTCHESTER RD, 2ND FLOOR, BRONX, NY 10461-2341
(718) 239-2089
(718) 239-2385
Mailing address
1776 EASTCHESTER RD, 2ND FLOOR, BRONX, NY 10461-2341
(718) 239-2089
(718) 239-2385
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
03/01/2016
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