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Organization
LOSE WEIGHT FAST NATURALLY LLC
Active
Organization
LOSE WEIGHT FAST NATURALLY LLC
Active
Other names
Astoria Back Pain
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ESPOSITO MD (OWNER)
(201) 923-2634
Entity
Organization
Contact information
Practice address
4215 BROADWAY, ASTORIA, NY 11103-2705
(201) 923-2634
Mailing address
4215 BROADWAY, ASTORIA, NY 11103-2705
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
NULL
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/22/2020
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