Organization
VITALITY MEDICAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALY KOTLYAR MD (MD)
(917) 862-5558
Entity
Organization
Contact information
Practice address
4 PINEWOOD RD, OLD WESTBURY, NY 11568-1606
(917) 862-5558
Mailing address
4 PINEWOOD RD, OLD WESTBURY, NY 11568-1606
(917) 862-5558
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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