Organization
MANHATTAN OPTIMAL MEDICAL WELLNESS, PLLC
Active
Other names
Medi-Weightloss Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
LUIZA F. PETRE MD (OWNER)
(212) 203-7098
Entity
Organization
Contact information
Practice address
115 E 57TH ST, SUITE 1450, NEW YORK, NY 10022-2049
(212) 203-7098
Mailing address
115 E 57TH ST, SUITE 1450, NEW YORK, NY 10022-2049
(212) 203-7098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230304
NY
Other
Enumeration date
02/08/2016
Last updated
05/19/2016
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