Provider Demographics
NPI:1962959189
Name:V-FIT FUNCTIONAL PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:V-FIT FUNCTIONAL PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VITO
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BOITS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:516-351-2343
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 1:1433 BROADWAY UNIT 5
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1361
Practice Address - Country:US
Practice Address - Phone:516-351-2343
Practice Address - Fax:516-400-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty