NPI | 1114056538 |
---|---|
Doing Business As | AGE RIGHT WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | SAIRWAA TANDEE PREVOST Medical Director 646-489-3312 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C51315) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |