| NPI | 1194533828 |
|---|---|
| Doing Business As | LIFESTYLE OF FITNESS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CAULO President 631-741-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |