# NEW LIFE MEDICAL ESTHETICS & WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639472475
- **Authorized official:** DR. LISA ENG DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 219-2723

## Contact information

- **Practice address:** 128 MOTT ST STE 401, NEW YORK, NY 10013-5575
- **Practice address phone:** (212) 219-2723
- **Practice address fax:** (718) 795-4395
- **Mailing address:** 128 MOTT STREET, SUITE 401, NEW YORK, NY 10013-5575
- **Mailing address phone:** (212) 219-2723
- **Mailing address fax:** (718) 795-4395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 188325 | NY | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 07/16/2024