Revitalize Cny, LLC
NPI 1396103438 · Medical Specialty Clinic/Center · Fayetteville, NY
Revitalize Cny, LLC is a Medical Specialty Clinic/Center organization in Fayetteville, NY (NPI 1396103438).
Provider details
- NPI number
- 1396103438
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa Setter, Owner(315) 251-1234
- License
- F335679 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-02-03
- Last updated
- 2016-02-03
Frequently asked questions
- What is Revitalize Cny, LLC's NPI number?
- Revitalize Cny, LLC's National Provider Identifier (NPI) is 1396103438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Cny, LLC?
- Revitalize Cny, LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revitalize Cny, LLC located?
- Revitalize Cny, LLC's practice location on file with NPPES is 6800 E Genesee St, Fayetteville, NY 13066-1089.
- What is Revitalize Cny, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Cny, LLC is (315) 251-1234.
- Who is the authorized official for Revitalize Cny, LLC?
- The authorized official listed on Revitalize Cny, LLC's NPPES record is Theresa Setter, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Cny, LLC's NPI active?
- Yes — Revitalize Cny, LLC's NPI (1396103438) is active in the NPPES registry as of the last update on 2016-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.