Organization
BODY MORPH MEDICAL WEIGHT LOSS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LANTIN MD (PRESIDENT)
(914) 391-1274
Entity
Organization
Contact information
Practice address
1086 N BROADWAY STE 50, YONKERS, NY 10701-1115
(914) 375-6400
Mailing address
7 OLD WOODS DR, HARRISON, NY 10528-2420
(914) 391-1274
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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