Organization
LIFESPIRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH LEE (CHIEF FINANCIAL OFFICER)
(212) 741-0100
Entity
Organization
Contact information
Practice address
159 E 125TH ST, NEW YORK, NY 10035-1748
(212) 828-8506
(212) 876-8942
Mailing address
ONE WHITEHALL STREET, 9TH FLOOR, NEW YORK, NY 10004-2141
(212) 741-0100
(646) 473-0589
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347755
—
NY
05
—
01500150
—
NY
Enumeration date
05/19/2006
Last updated
07/11/2012
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