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Organization
SACLOLO WELLNESS INSTITUTE
Active
Organization
SACLOLO WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMIN SOOGRIM (OFFICE MANAGER)
(212) 477-3544
Entity
Organization
Contact information
Practice address
20 W 86TH ST STE 1A, NEW YORK, NY 10024-3604
(212) 490-3800
(212) 490-5567
Mailing address
20 W 86TH ST STE 1A, NEW YORK, NY 10024-3604
(212) 490-3800
(212) 490-5567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01761628
—
NY
Enumeration date
06/13/2007
Last updated
08/22/2020
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