| NPI | 1932914553 |
|---|---|
| Doing Business As | LIVE WELL MEDICAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | SAIQA IRAM Physician 347-264-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |