| NPI | 1063377836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA FREITAS Owner 347-671-3346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084B0002X Psychiatry & Neurology, Bariatric Medicine |
| 207Q00000X Family Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2026-02-01 |