Organization · Type 2 NPI

Brooklyn Longevity Nutrition, PLLC

Clinic/Center · Brooklyn, NY

NPI number 1376188540 Active

Practice location

2054 Bay Ridge Ave Bsmt
Brooklyn, NY 11204-4629

Call (646) 875-1655 Map

Mailing address

2054 Bay Ridge Ave
Brooklyn, NY 11204-4629

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1376188540

Brooklyn Longevity Nutrition, PLLC's National Provider Identifier is 1376188540, issued on Nov 12, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 24, 2021.