| NPI | 1265844716 |
|---|---|
| Other Name | MEDICAL WEIGHT MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JOSEPH WISNOSKI VP Finance 631-473-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-08-27 |