| NPI | 1174141030 |
|---|---|
| Doing Business As | CHOICE MD HEALTH AND WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | MINCS CALIXTE Practice Owner 914-646-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |