Organization
FUNCTIONAL PELVIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY VESTAL (OWNER)
(917) 601-1299
Entity
Organization
Contact information
Practice address
21 WEST ST, 7A, NEW YORK, NY 10006-2920
(917) 601-1299
Mailing address
21 WEST ST, 7A, NEW YORK, NY 10006-2920
(917) 601-1299
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
016848
NY
Other
Enumeration date
09/18/2014
Last updated
11/12/2014
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