Provider Demographics
NPI:1093600363
Name:VITAL BALANCE HEALING CENTER INC
Entity type:Organization
Organization Name:VITAL BALANCE HEALING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YASUSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:212-470-3258
Mailing Address - Street 1:8105 4TH AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4421
Mailing Address - Country:US
Mailing Address - Phone:212-470-3258
Mailing Address - Fax:
Practice Address - Street 1:1 W 34TH ST RM 904
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3011
Practice Address - Country:US
Practice Address - Phone:212-470-3258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty