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Organization

PAINLESS, COMFORTABLE, VIGOROUS, VIBRANT, ALIVE AND HEALTHY INC

Active
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Organization

PAINLESS, COMFORTABLE, VIGOROUS, VIBRANT, ALIVE AND HEALTHY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL GROSS (PRESIDENT)
(718) 743-2141
Entity
Organization

Contact information

Practice address
2083 E 19TH ST FL 2, BROOKLYN, NY 11229-3901
(718) 743-2141
(801) 206-5345
Mailing address
2083 E 19TH ST FL 2, BROOKLYN, NY 11229-3901
(718) 743-2141
(801) 206-5345

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CA

Other

Enumeration date
07/29/2015
Last updated
07/29/2015
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