| Vital Balance Osteopathy, Pllc | |
|
10 Bond Street Ste 1, #290 Great Neck NY 11021 | |
| (917) 338-1884 | |
| Not Available |
| Full Name | Vital Balance Osteopathy, Pllc |
|---|---|
| Speciality | Neuromusculoskeletal Medicine & Omm |
| Location | 10 Bond Street, Great Neck, New York |
| Authorized Official Name and Position | Lisa Preston (OWNER, PRESIDEN, PHYSICIAN) |
| Authorized Official Contact | 9173381884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Balance Osteopathy, Pllc 10 Bond Street Ste 1, #290 Great Neck NY 11021 Ph: (917) 338-1884 | Vital Balance Osteopathy, Pllc 10 Bond Street Ste 1, #290 Great Neck NY 11021 Ph: (917) 338-1884 |
| NPI Number | 1760097927 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760097927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | (* (Not Available)) | Primary |
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