Genesis Integrative Medicine Longevity Center LLC
Genesis Integrative Medicine Longevity Center LLC is a Community/Behavioral Health Agency in Lake Como, New Jersey. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1716 Main StLake Como, NJ 07719-3052
Phone: (732) 681-1000
Fax: (732) 681-1004
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1578299558 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Louro — Chiropractor · (732) 681-1000 |
| NPI enumerated | August 1, 2022 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | October 17, 2022 |
| Mailing address | 1716 Main St, Lake Como, NJ 07719-3052 |