Organization
AKA MEDICAL WELLNESS AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARMITA CATIENZA (CEO)
(904) 210-8025
Entity
Organization
Contact information
Practice address
5801 WOODSIDE AVE, WOODSIDE, NY 11377-3437
(917) 340-8997
Mailing address
250 1ST AVE APT 2B, NEW YORK, NY 10009-2612
(904) 210-8025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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