institution
Active Life Health Of Ny Pc
General Practice Physician in Smithtown, New York
NPI 1275814105

Active Life Health Of Ny Pc is a General Practice Physician based in Smithtown, NY. Active Life Health Of Ny Pc practices in Smithtown, NY. The NPI Number for Active Life Health Of Ny Pc is 1275814105 and holds a License No. 2611911 (New York).

The current practice location address for Active Life Health Of Ny Pc is 300 E Main St Ste 1, Smithtown, NY and can be reached out via phone at 631-656-8796 and via fax at 631-333-7322.

Location: 300 E Main St Ste 1, Smithtown, NY, 11787-4756
institution
Provider Profile Details
NPI Number
1275814105
Provider Name
Active Life Health Of Ny Pc
Credential
Provider Entity Type
Organization
Address
300 E Main St Ste 1, Smithtown, NY, 11787-4756
Phone Number
631-656-8796
Fax Number
631-333-7322
Provider Enumeration Date
09/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 E Main St Ste 1
City
State
Zip
11787-2900
Phone Number
631-656-8796
Fax Number
631-333-7322
person
Provider Business Mailing Address Details
Address
300 E Main St Ste 1
City
State
Zip
11787-2900
Phone Number
631-656-8796
Fax Number
631-333-7322
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2611911 (Texas)
Definition
Definition to come...
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