Provider Demographics
NPI:1205578705
Name:PELVIC HEALTH INC
Entity type:Organization
Organization Name:PELVIC HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZARINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VITEBSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, MSPT
Authorized Official - Phone:973-207-9798
Mailing Address - Street 1:78 MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-1861
Mailing Address - Country:US
Mailing Address - Phone:973-207-9798
Mailing Address - Fax:
Practice Address - Street 1:78 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1861
Practice Address - Country:US
Practice Address - Phone:973-207-9798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty