Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vitality Wellness & Rehab LLC

Organization Internal Medicine Physician · NPI 1083173595

Vitality Wellness & Rehab LLC is an Internal Medicine Physician in Commack, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

66 Austin Blvd
Commack, NY 11725-5733
Phone: (914) 376-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1083173595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Nieli — Credentialing Manager · (914) 376-6100
NPI enumeratedMarch 14, 2019
Last updated in NPPESMarch 14, 2019
Mailing address66 Austin Blvd, Commack, NY 11725-5733

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