Provider Demographics
NPI:1962789131
Name:BOITS, VITO ANTHONY (DPT)
Entity type:Individual
Prefix:MR
First Name:VITO
Middle Name:ANTHONY
Last Name:BOITS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 VINCENT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2120
Mailing Address - Country:US
Mailing Address - Phone:516-351-2343
Mailing Address - Fax:516-400-9997
Practice Address - Street 1:312 VINCENT AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2120
Practice Address - Country:US
Practice Address - Phone:516-351-2343
Practice Address - Fax:516-400-9997
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034203-12251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty