VITALITY PHYSICIANS GROUP (NPI# 1659622710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659622710 |
| Entity Type | Organization |
| Organization Name | VITALITY PHYSICIANS GROUP |
| Practice Address |
135 Woodlawn Ave Albany NY 12208-2912 |
| Practice Telephone | 8669319812 |
| Practice Fax Number | 8669421556 |
| Mailing Telephone | 8669319812 |
| Mailing Fax Number | 8669421666 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | DR. MITCHELL CABISUDO (PARTNER) |
| Authorized Official Telephone | 8669319812 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
087626 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
135 WOODLAWN AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831142504 | Paula G Mosher | Social Worker | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2006-05-17 |
| 1922354489 | David P Lahaie | Social Worker | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2012-08-01 |
| 1154676203 | Whitney C Lill | Social Worker | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2012-07-16 |
| 1750646659 | Melissa Munyan Ten Eyck Hall | Counselor | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2012-07-08 |
| 1497010441 | Allison June Pawlik | Social Worker | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2012-07-05 |
| 1205190261 | Elizabeth Marie Pierce | Counselor | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2012-06-25 |
| 1518243294 | Terri L St. George | Counselor | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2011-10-26 |
| 1053696054 | John M. Greklek-torres | Counselor | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2011-10-21 |
| 1629353263 | Leigh Ross | Psychologist | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2011-10-14 |
| 1184916751 | Sally Hage | Psychologist | 135 Woodlawn Ave, Albany, NY 12208-2912 | 2011-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029411 | Eric Spronz, Psychiatric Nurse Practitioner P.C. | Psychiatry & Neurology | 2539 Middle Country Rd Ste 4, Centereach, NY 11720-3503 | 2020-09-29 |
| 1649668724 | Sherry Eros | Psychiatry & Neurology | 1802 State Route 52, Liberty, NY 12754-8306 | 2014-12-25 |
| 1215279468 | Bizhan M Nia | Psychiatry & Neurology | 601 Seney Ave, Mamaroneck, NY 10543-4426 | 2013-03-25 |
| 1255444147 | Joann Sciacca | Psychiatry & Neurology | 150 Elwood Ave, Hawthorne, NY 10532-2346 | 2006-08-16 |
| 1912537564 | Naira Ambarian Medical PC | Psychiatry & Neurology | 107 Northern Blvd, Great Neck, NY 11021-4311 | 2020-01-23 |
| 1497308548 | Neurosciences Healthcare Medicine, PC | Psychiatry & Neurology | 122 W Main St, Endicott, NY 13760-4772 | 2019-07-18 |
| 1033574009 | John C Marino, Md | Psychiatry & Neurology | 3180 West St, Canandaigua, NY 14424-1722 | 2015-12-17 |
| 1821485129 | Seaview Psychiatry Partners PC | Psychiatry & Neurology | 500 Seaview Ave, Suite 200a, Staten Island, NY 10305-3421 | 2015-04-24 |
| 1821418625 | Neil Zolkind, Md PC | Psychiatry & Neurology | 150 White Plains Rd Ste 102, 150 White Plains Road, Suite # 102, Tarrytown, NY 10591-5521 | 2014-04-18 |
| 1982021440 | Southern Dutchess Psychiatric Consultation Pllc | Psychiatry & Neurology | 1285 Route 9, Suite #7, Wappingers Falls, NY 12590-4993 | 2014-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.