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Organization
LIVING WELL BALANCED NYC MEDICAL PLLC
Active
Organization
LIVING WELL BALANCED NYC MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELINE LATALIZA EPSTEIN MD (OWNER)
(214) 727-4564
Entity
Organization
Contact information
Practice address
180 W 80TH ST, NEW YORK, NY 10024-6378
(212) 579-2858
Mailing address
180 W 80TH ST, NEW YORK, NY 10024-6378
(212) 579-2858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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