Organization
VITAL BALANCE OSTEOPATHY, PLLC
Active
Parent organization
VITAL BALANCE OSTEOPATHY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITAL BALANCE OSTEOPATHY, PLLC
Authorized official
DR. LISA PRESTON DO (OWNER, PRESIDEN, PHYSICIAN)
(917) 338-1884
Entity
Organization
Contact information
Practice address
10 BOND STREET, STE 1, #290, GREAT NECK, NY 11021
(917) 338-1884
Mailing address
10 BOND STREET, STE 1, #290, GREAT NECK, NY 11021
(917) 338-1884
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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