Provider Demographics
NPI:1881950756
Name:ELITE PERSONAL FITNESS LTD
Entity type:Organization
Organization Name:ELITE PERSONAL FITNESS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:DILILLO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:646-522-0627
Mailing Address - Street 1:12 E 46TH ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2418
Mailing Address - Country:US
Mailing Address - Phone:212-292-3858
Mailing Address - Fax:212-953-1353
Practice Address - Street 1:600 WASHINGTON BOULVARD
Practice Address - Street 2:8TH FLOOR
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-3726
Practice Address - Country:US
Practice Address - Phone:212-292-3858
Practice Address - Fax:212-953-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty