Vital Medical Care Pllc

NPI #1780744300 in Elmont, New York

Provider Information

NPI Number
1780744300
Entity Type
Organization
Organization Name
Vital Medical Care Pllc
Primary Specialty
Specialist
Enumeration Date
Dec 12, 2006
Last Updated
Jun 3, 2013

Practice Location

Address
444 ELMONT RD
City
Elmont
ZIP Code
11003-3529
Phone
(516) 488-3552

Authorized Official

Name
FITZCLAUD GRANT, MD
Title
MD
Phone
(516) 488-3552

Specialties & Taxonomy Codes

Specialty
Specialist

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