# AXOXA NEW VITALITY MEDICAL PC

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

## Provider details

- **NPI number:** 1841654480
- **Authorized official:** DR. JURAJ LUKAC M.D. (DIRECTOR)
- **Authorized official phone:** (646) 862-7091

## Contact information

- **Practice address:** 61 E 86TH ST, NEW YORK, NY 10028-1068
- **Practice address phone:** (646) 862-7091
- **Mailing address:** 37 SHERMAN AVE, STATEN ISLAND, NY 10301-2301
- **Mailing address phone:** (347) 857-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 249039 | NY | Yes |

## Other

- **Enumeration date:** 04/10/2016
- **Last updated:** 04/10/2016