NPI 1316530900
Vitality Medical and Physical Therapy LLC
Practice location
- Address
- 150 Union Ave, East Rutherford, NJ 07073-1917
- Phone
- (914) 376-6100
- Fax
- (914) 470-5056
Authorised official
- Name
- Melissa Nieli
- Title
- Credentaling Manager
- Phone
- (914) 376-6100
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1316530900
- Entity type
- Organization
- NPI issued
- 16 Feb 2021
- Record last updated
- 16 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.