Organization
BODY MORPH MEDICAL WEIGHT LOSS SERVICES
Active
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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