| NPI | 1528309317 |
|---|---|
| Doing Business As | NEW GENESIS CENTER FOR WEIGHT LOSS AND COSMETIC MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHRISTIAN LEATHERSICH Managing Member 585-748-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 132700000X Dietary Manager |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |