NPI | 1538586771 |
---|---|
Doing Business As | MAXIUM LIFE WELLNESS CENTER AND MEDICAL SPA |
Entity Type | Organization |
Authorized Contact | ZHICHENG LU Medical Director 917-579-6886 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 233928) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |