| Lifestyle Reconstruction Weight Control Center | |
|
125 S Main St New City NY 10956-3501 | |
| (845) 271-9295 | |
| (845) 639-1959 |
| Full Name | Lifestyle Reconstruction Weight Control Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 125 S Main St, New City, New York |
| Authorized Official Name and Position | Robin Korngold (PROPRIETOR) |
| Authorized Official Contact | 8452719295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Reconstruction Weight Control Center 125 S Main St New City NY 10956-3501 Ph: (845) 271-9295 | Lifestyle Reconstruction Weight Control Center 125 S Main St New City NY 10956-3501 Ph: (845) 271-9295 |
| NPI Number | 1861128787 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861128787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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