Vista Medical Services, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

198832 Issued in NY

Legal business name

VISTA MEDICAL SERVICES, PC

Practice address

26 Firemens Memorial Dr Ste 115
Pomona, NY 10970-3569

Phone

(845) 362-8400

NPI assigned

Apr 27, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. E. Lance Coburn, MD

Title

Owner

Phone

(212) 410-4400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1518258391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352902",
            "telephone_number": "212-410-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR STE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703569",
            "telephone_number": "845-362-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "E. LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-410-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Verrier-Iametti, LMSW
• Kaylee Vetrano
• Vicalex Behavioral Health LCSW Services, P.C.
• Marie Yanick Vil
• Debra Lynn Villar, LMHC
• Rose Vixamar
• Vladimir Zev Zelenko MD PC.
• Gerald Vogel, M.D.
• Lisa Vogel
• Faranak Vossughi, D.D.S., M.S.

• Internal Medicine Physician in Pomona, NY
• Providers in Pomona, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.