Organization · Type 2 NPI

Vestal Healthcare LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fresh Meadows, NY

NPI number 1083005573 Active

Practice location

17627 Union Tpke
Fresh Meadows, NY 11366-1515

Fax (718) 969-3927

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Tahir Hafeez, MDNephrology Physician Fresh Meadows, NY NPI 1720064421

Other end-stage renal disease (esrd) treatment clinic/center providers in Fresh Meadows

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NPI record

NPI: 1083005573
Entity type: Organization (Type 2)
Issued: Feb 5, 2015
Last updated: Oct 27, 2016
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

<unavail>
Freedom Center of Queens · doing business as

Authorized official

Mr. Mark Caputo
President
(206) 816-6505

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About NPI 1083005573

Vestal Healthcare LLC's National Provider Identifier is 1083005573, issued on Feb 5, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fresh Meadows, NY. The record was last updated on Oct 27, 2016.