Organization · NPI-2

180 Degrees Medical PLLC

Preventive Medicine, Obesity Medicine · New York, NY

NPI number1225736705
StatusActive
Last updated in NPPESSep 26, 2023

Details

NPI
1225736705
Entity type
Organization (NPI-2)
Legal business name
180 Degrees Medical PLLC
Organization subpart
No
Enumeration date
Feb 23, 2023
Certification date
Sep 26, 2023
Last updated
Sep 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083B0002X Preventive Medicine, Obesity Medicine––Yes
261QP2300X Clinic/Center, Primary Care––

Practice location

620 Malcolm X Blvd Apt 11d
New York, NY 10037-1206

Phone 251-599-2388

Mailing address

620 Malcolm X Blvd Apt 11d
New York, NY 10037-1206

Authorized official

Tremaine Jamar Wright
Owner
2515992388

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