institution
Laine Np Adult Wellness Care Pc
Primary Care Clinic/Center in North Baldwin, New York
NPI 1225450364

Laine Np Adult Wellness Care Pc is a Primary Care Clinic/Center based in North Baldwin, NY and is specialized in Primary Care. Laine Np Adult Wellness Care Pc practices in North Baldwin, NY. The NPI Number for Laine Np Adult Wellness Care Pc is 1225450364 and holds a License No. F304165-1 (New York).

The current practice location address for Laine Np Adult Wellness Care Pc is 539 De Mott Ave, North Baldwin, NY and can be reached out via phone at 516-223-6088.

Location: 539 De Mott Ave, North Baldwin, NY, 11510-1321
institution
Provider Profile Details
NPI Number
1225450364
Provider Name
Laine Np Adult Wellness Care Pc
Credential
Provider Entity Type
Organization
Address
539 De Mott Ave, North Baldwin, NY, 11510-1321
Phone Number
516-223-6088
Fax Number
Provider Enumeration Date
01/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173000000X 01 NY TAXONOMY
0362301 05 NJ
0469 05 NY
1104861558 01 NY NPI
institution
Provider Business Practice Location Address Details
Address
539 De Mott Ave
City
State
Zip
11510-1321
Phone Number
516-223-6088
Fax Number
person
Provider Business Mailing Address Details
Address
539 De Mott Ave
City
State
Zip
11510-1321
Phone Number
516-223-6088
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
199824 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
F304165-1 (New York)
Definition
Definition to come...
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