Organization
CORVITALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W BOTH (CFO)
(888) 401-9998
Entity
Organization
Contact information
Practice address
590 NICHOLS ROAD, SUITE 1, DEER PARK, NY 11729
(888) 401-9998
(800) 559-3413
Mailing address
P.O. BOX 270, MALVERNE, NY 11565
(888) 401-9998
(800) 559-3413
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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