| NPI | 1093864043 |
|---|---|
| Doing Business As | NIM LONGEVITY |
| Entity Type | Organization |
| Authorized Contact | VALERI KOGANSKI Owner 215-750-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-12-30 |