# VADIM FITNESS STUDIO, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760833172
- **Authorized official:** MR. VADIM VILENSKY (PRESIDENT)
- **Authorized official phone:** (914) 725-9553

## Contact information

- **Practice address:** 455 CENTRAL PARK AVE, SCARSDALE, NY 10583-1060
- **Practice address phone:** (914) 725-9553
- **Practice address fax:** (914) 725-4260
- **Mailing address:** 455 CENTRAL PARK AVE, 455 CENTRAL PARK AVENUE, SCARSDALE, NY 10583-1060
- **Mailing address phone:** (914) 725-9553
- **Mailing address fax:** (914) 725-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | Yes |
| 224Y00000X | Clinical Exercise Physiologist | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 06/27/2016