Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vestal Healthcare LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1083005573

Vestal Healthcare LLC provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17627 Union Tpke
Fresh Meadows, NY 11366-1515
Phone: (718) 969-3293
Fax: (718) 969-3927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X (NY)

Record details

NPI number1083005573
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFresenius Medical Care Holdings, Inc
Authorized official Mark Caputo — President · (206) 816-6505
Other names Freedom Center Of Queens
NPI enumeratedFebruary 5, 2015
Last updated in NPPESOctober 27, 2016
Mailing address17627 Union Tpke, Fresh Meadows, NY 11366-1515

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Fresh Meadows