Organization
HEALTHY LIFE AND LONGEVITY MEDICAL OFFICE P.C.
Active
Organization
HEALTHY LIFE AND LONGEVITY MEDICAL OFFICE P.C.
Active
Other names
Maxium Life wellness center and medical spa
Organization subpart
No
Provider details
NPI number
Authorized official
ZHICHENG LU D.O. (MEDICAL DIRECTOR)
(917) 579-6886
Entity
Organization
Contact information
Practice address
287 NORTHERN BLVD, SUIT 106, GREAT NECK, NY 11021-4700
(917) 579-6886
Mailing address
287 NORTHERN BOULEVARDS, SUIT 106, GREAT NECK, NY 11021-4347
(917) 579-6886
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
233928
NY
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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