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VITALITY WELLNESS & REHAB LLC

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Company Details

Name: VITALITY WELLNESS & REHAB LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Feb 2019 (6 years ago)
Entity Number: 5488006
ZIP code: 12205
County: Suffolk
Place of Formation: Delaware
Address: 187 WOLF ROAD SUITE 101, ALBANY, NY, United States, 12205

DOS Process Agent

Name Role Address
BUSINESS FILINGS INCORPORATED DOS Process Agent 187 WOLF ROAD SUITE 101, ALBANY, NY, United States, 12205

National Provider Identifier

NPI Number:
1083173595

Authorized Person:

Name:
MELISSA NIELI
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190503000020 2019-05-03 CERTIFICATE OF PUBLICATION 2019-05-03
190204000472 2019-02-04 APPLICATION OF AUTHORITY 2019-02-04

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State