| Organization Name: | VITALITY HEALTH MEDICAL |
| NPI Number: | 1174944482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAILYN ASTURIAS (OFFICE MANAGER) |
| Mailing Address: | 310 W 56th St Suite 1cd New York |
| State: | NY US |
| Postal Code: | 100194265 |
| Phone Number: | 2122455688 |
| Fax Number: | 2122455677 |
| NPI Enumeration Date: | 01/04/2014 |
| NPI Last Update Date: | 06/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |