New Life Medical Esthetics And Wellness, Pllc

NPI 1073818423 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1073818423
Enumeration Date 01/17/2011
Last Updated 01/17/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LISA LISA
Position PHYSICIAN
Phone (718) 567-0730
Fax (718) 795-4395
Practice Location
630 59TH ST
BROOKLYN NY, 11220-3909, US
Phone (718) 567-0730
Fax (718) 795-4395
Business Location
128 MOTT ST
SUITE 401
NEW YORK NY, 10013-5540, US
Phone (212) 219-2723
Fax (718) 795-4395
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 188325
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According to our database, New Life Medical Esthetics And Wellness, Pllc NPI is 1073818423, taxonomy code is 207V00000X and license number is 188325, license state is located at New York. New Life Medical Esthetics And Wellness, Pllc physically located at 630 59th St, Brooklyn NY, 11220-3909. NPI Number 1033115704 has the healthcare provider type.

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1073818423 NPI number is provided on an as is basis without warranty of any kind. 1073818423 is maintained by the National Plan & Provider Enumeration System. The contents of New Life Medical Esthetics And Wellness, Pllc are for informational purposes only.