Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vitality Medical Health PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1609713403

Vitality Medical Health PC provides Pain Medicine (Anesthesiology) Physician services in Old Westbury, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4 Pinewood Rd
Old Westbury, NY 11568-1606
Phone: (917) 862-5558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1609713403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vitaly Kotlyar — Md · (917) 862-5558
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address4 Pinewood Rd, Old Westbury, NY 11568-1606