Medical Weight Loss of New York, Pllc
NPI #1174940696 in Fayetteville, New York
Provider Information
- NPI Number
- 1174940696
- Entity Type
- Organization
- Organization Name
- Medical Weight Loss of New York, Pllc
- Primary Specialty
- Family Medicine - Obesity Medicine
- Enumeration Date
- Mar 21, 2014
- Last Updated
- Mar 21, 2014
Practice Location
- Address
- 6800 E GENESEE ST
- Address 2
- SUITE 1501
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-1089
- Phone
- (315) 391-9390
Authorized Official
- Name
- BRYAN T WENDEL
- Title
- PRACTICE MANAGER
- Phone
- (315) 445-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Obesity Medicine — Obesity Medicine |
| Family Medicine - Obesity Medicine — Obesity Medicine |
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