Vitastat Medical Pllc

NPI #1811232770 in Astoria, New York

Provider Information

NPI Number
1811232770
Entity Type
Organization
Organization Name
Vitastat Medical Pllc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Dec 4, 2012
Last Updated
Dec 4, 2012

Practice Location

Address
2322 BROADWAY
ZIP Code
11106-4196
Phone
(917) 300-8296

Authorized Official

Name
DR. KEN TRUONG, M.D.
Title
MANAGER
Phone
(917) 300-8296

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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