Organization · Type 2 NPI
Evergreen Vitality Primary Care PC
Primary Care Clinic/Center · Hartsdale, NY
NPI number
1053244384
Active
Practice location
280 N Central Ave Ste 312
Hartsdale, NY 10530-1839
Fax (351) 200-1199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Hartsdale
About NPI 1053244384
Evergreen Vitality Primary Care PC's National Provider Identifier is 1053244384, issued on Jun 5, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hartsdale, NY. The record was last updated on Sep 2, 2026.