| Vitality Wellness & Rehab Llc | |
|
66 Austin Blvd Commack NY 11725-5733 | |
| (914) 376-6100 | |
| Not Available |
| Full Name | Vitality Wellness & Rehab Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 66 Austin Blvd, Commack, New York |
| Authorized Official Name and Position | Melissa Nieli (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9143766100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Wellness & Rehab Llc 66 Austin Blvd Commack NY 11725-5733 Ph: () - | Vitality Wellness & Rehab Llc 66 Austin Blvd Commack NY 11725-5733 Ph: (914) 376-6100 |
| NPI Number | 1083173595 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083173595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
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