| Vitality Physicians Group | |
|
135 Woodlawn Ave Albany NY 12208-2912 | |
| (866) 931-9812 | |
| (866) 942-1556 |
| Full Name | Vitality Physicians Group |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 135 Woodlawn Ave, Albany, New York |
| Authorized Official Name and Position | Mitchell Cabisudo (PARTNER) |
| Authorized Official Contact | 8669319812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Physicians Group 135 Woodlawn Ave Albany NY 12208-2912 Ph: (866) 931-9812 | Vitality Physicians Group 135 Woodlawn Ave Albany NY 12208-2912 Ph: (866) 931-9812 |
| NPI Number | 1659622710 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 09/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659622710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 087626 (New York) | Primary |
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