| NPI | 1922470939 |
|---|---|
| Doing Business As | MEDI-WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | LUIZA PETRE Owner 917-553-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CT 052588) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CT 052588) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |