Organization · Type 2 NPI
Optimal Life Integrative Health Clinic LLC
Primary Care Nurse Practitioner · New York, NY
NPI number
1386475465
Active
Practice location
105 W 125th St Frnt 1
New York, NY 10027-4444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1386475465
Optimal Life Integrative Health Clinic LLC's National Provider Identifier is 1386475465, issued on Aug 12, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Aug 12, 2024.