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Organization
NEW LIFE MEDICAL ESTHETICS & WELLNESS PLLC
Active
Organization
NEW LIFE MEDICAL ESTHETICS & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ENG DO (MEDICAL DIRECTOR)
(212) 219-2723
Entity
Organization
Contact information
Practice address
128 MOTT ST STE 401, NEW YORK, NY 10013-5575
(212) 219-2723
(718) 795-4395
Mailing address
128 MOTT STREET, SUITE 401, NEW YORK, NY 10013-5575
(212) 219-2723
(718) 795-4395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
188325
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
07/16/2024
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