| NPI | 1023479318 |
|---|---|
| Doing Business As | WEIGHTXMEDICAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES J VACCARIELLO Physician 631-406-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 104837) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |