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Organization
VITALITY MEDICAL AND PHYSICAL THERAPY LLC
Active
Organization
VITALITY MEDICAL AND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIELI (CREDENTALING MANAGER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
150 UNION AVE, EAST RUTHERFORD, NJ 07073-1917
(914) 376-6100
(914) 470-5056
Mailing address
150 UNION AVE, EAST RUTHERFORD, NJ 07073-1917
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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