A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Integrative Medicine |
202D00000X |
| NPI Number | 1407662448 |
| LBN Legal business name | MAKE WAY 4 HEALTH MEDICAL CENTER LLC |
| Authorized official | ARIEL GALLANOSA - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/04/2024 |
| Last updated | 12/05/2024 - More than a year ago |
| Identifiers | n/a |
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