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Organization
VITALITY WELLNESS & REHAB LLC
Active
Organization
VITALITY WELLNESS & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIELI (CREDENTIALING MANAGER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
66 AUSTIN BLVD, COMMACK, NY 11725-5733
(914) 376-6100
Mailing address
66 AUSTIN BLVD, COMMACK, NY 11725-5733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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