Organization
VITALY PHYSICAL THERAPY PC
Active
Other names
reVitalyze Physiotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
VITALY DVOSKIN (OWNER)
(917) 604-8612
Entity
Organization
Contact information
Practice address
32 E 57TH ST FL 3, NEW YORK, NY 10022-8573
(212) 606-4035
Mailing address
32 E 57TH ST FL 3, NEW YORK, NY 10022-8573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
01/08/2026
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