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Organization
LIVING WELL MEDICAL, PC
Active
Organization
LIVING WELL MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNOLD BLANK M.D. (PRESIDENT/OWNER)
(212) 645-8151
Entity
Organization
Contact information
Practice address
632 BROADWAY, SUITE 303, NEW YORK, NY 10012-2614
(212) 645-8151
(212) 777-1653
Mailing address
632 BROADWAY, SUITE 303, NEW YORK, NY 10012-2614
(212) 645-8151
(212) 777-1653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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