| NPI | 1124214150 |
|---|---|
| Other Name | ALI JOHN ENAYATI MD MPH, INC. |
| Doing Business As | CENTURY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | LIZANNE ELAINE WEBB Administrator 646-298-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2018-09-12 |