| NPI | 1154137073 |
|---|---|
| Doing Business As | LAKESIDE CONCIERGE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRIAN HARPER WETCHLER Physician, Owner 516-212-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |