institution
Wagner Mello Primary Care Llc
Primary Care Nurse Practitioner in Rockville Centre, New York
NPI 1568171882

Wagner Mello Primary Care Llc is a Primary Care Nurse Practitioner based in New York, NY and is specialized in Primary Care. Wagner Mello Primary Care Llc practices in Rockville Centre, NY. The NPI Number for Wagner Mello Primary Care Llc is 1568171882 and holds a License No. (New York).

The current practice location address for Wagner Mello Primary Care Llc is 450 Sunrise Hwy, Rockville Centre, NY and can be reached out via phone at 631-404-7073 and via fax at 631-751-8298.

Location: 450 Sunrise Hwy, Rockville Centre, NY, 10031-2414
institution
Provider Profile Details
NPI Number
1568171882
Provider Name
Wagner Mello Primary Care Llc
Credential
Provider Entity Type
Organization
Address
450 Sunrise Hwy, Rockville Centre, NY, 10031-2414
Phone Number
631-404-7073
Fax Number
631-751-8298
Provider Enumeration Date
11/15/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
450 Sunrise Hwy
City
State
Zip
11570-5053
Phone Number
631-404-7073
Fax Number
631-751-8298
person
Provider Business Mailing Address Details
Address
450 Sunrise Hwy
City
State
Zip
11570-5053
Phone Number
631-404-7073
Fax Number
631-751-8298
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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