Provider Demographics
NPI:1851754675
Name:VITALITY HEALTH MEDICAL
Entity Type:Organization
Organization Name:VITALITY HEALTH MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:MR
Authorized Official - First Name:ATUL
Authorized Official - Middle Name:NEEL
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-245-5688
Mailing Address - Street 1:310 W 56TH ST STE 1CD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-4211
Mailing Address - Country:US
Mailing Address - Phone:212-245-5688
Mailing Address - Fax:
Practice Address - Street 1:310 W 56TH ST STE 1CD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4211
Practice Address - Country:US
Practice Address - Phone:212-245-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty