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Organization

VITAL BALANCE OSTEOPATHY, PLLC

Active
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Organization

VITAL BALANCE OSTEOPATHY, PLLC

Active
Parent organization
VITAL BALANCE OSTEOPATHY, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
VITAL BALANCE OSTEOPATHY, PLLC
Authorized official
DR. LISA PRESTON DO (OWNER, PRESIDEN, PHYSICIAN)
(917) 338-1884
Entity
Organization

Contact information

Practice address
10 BOND STREET, STE 1, #290, GREAT NECK, NY 11021
(917) 338-1884
Mailing address
10 BOND STREET, STE 1, #290, GREAT NECK, NY 11021
(917) 338-1884

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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