33D2248450 CLIA NUMBER - LIFE BODY MEDICINE

Laboratory Demographics

CLIA Number: 33D2248450

Facility Name: LIFE BODY MEDICINE

Facility Address:
6 TUXEDO AVE- FIRST FLOOR
NEW HYDE PARK, NY
ZIP 11040
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Facility Phone Number: 516 588-3585

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700448552

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	33D2248450
LAB Type	Physician Office
Facility Name	LIFE BODY MEDICINE
Street	6 TUXEDO AVE- FIRST FLOOR
City	NEW HYDE PARK
State	NY
ZIP	11040
Phone	516 588-3585
CertificateType	4
CertificateEffectiveDate	1/13/2024
CertificateExpirationDate	1/12/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024