Organization
LOSE WEIGHT FAST NATURALLY LLC
Active
Other names
Astoria Back Pain
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ESPOSITO MD (OWNER)
(201) 923-2634
Entity
Organization
Contact information
Practice address
4215 BROADWAY, ASTORIA, NY 11103-2705
(201) 923-2634
Mailing address
4215 BROADWAY, ASTORIA, NY 11103-2705
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/22/2020
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