# MANHATTAN OPTIMAL MEDICAL WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi-Weightloss Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538527346
- **Authorized official:** LUIZA F. PETRE MD (OWNER)
- **Authorized official phone:** (212) 203-7098

## Contact information

- **Practice address:** 115 E 57TH ST, SUITE 1450, NEW YORK, NY 10022-2049
- **Practice address phone:** (212) 203-7098
- **Mailing address:** 115 E 57TH ST, SUITE 1450, NEW YORK, NY 10022-2049
- **Mailing address phone:** (212) 203-7098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 230304 | NY | Yes |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 05/19/2016