Lifecare Medical Office, PC
Internal Medicine in Arverne, NY. Organization (NPI-2).
NPI number1124545751
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124545751
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifecare Medical Office, PC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 133N00000X | Nutritionist | – | – |
Practice location
6514 Beach Front RdArverne, NY 11692-1293
Phone 646-382-7742 · Fax 646-417-5002
Mailing address
6514 Beach Front RdArverne, NY 11692-1293
Phone 646-382-7742 · Fax 646-417-5002
Authorized official
Jolanta J Libura
Owner
6463827742
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