Organization
CPW WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL BISSOON MD (OFFICER)
(212) 877-1767
Entity
Organization
Contact information
Practice address
146 CENTRAL PARK W, SUITE 1D, NEW YORK, NY 10023-6297
(212) 877-1767
(212) 877-1971
Mailing address
146 CENTRAL PARK W, SUITE 1D, NEW YORK, NY 10023-6297
(212) 877-1767
(212) 877-1971
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
193423
NY
363AM0700X
Medical Physician Assistant
012786
NY
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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