| NPI | 1619595774 |
|---|---|
| Doing Business As | MEDITIQUE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LEE MIZELLE Owner 646-338-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |