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Port Jefferson Medical Wellness Pllc
Clinic/Center in Miller Place, New York
NPI 1649855099

Port Jefferson Medical Wellness Pllc is a Clinic/Center based in Patchogue, NY. Port Jefferson Medical Wellness Pllc practices in Miller Place, NY. The NPI Number for Port Jefferson Medical Wellness Pllc is 1649855099 and holds a License No. (New York).

The current practice location address for Port Jefferson Medical Wellness Pllc is 595 Route 25A Ste B, Miller Place, NY and can be reached out via phone at 631-849-1586.

Location: 595 Route 25A Ste B, Miller Place, NY, 11772-3702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649855099
Provider Name
Port Jefferson Medical Wellness Pllc
Credential
Provider Entity Type
Organization
Address
595 Route 25A Ste B, Miller Place, NY, 11772-3702
Phone Number
631-849-1586
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
595 Route 25A Ste B
City
Miller Place
State
New York
Zip
11764-2646
Phone Number
631-849-1586
Fax Number
person
Provider Business Mailing Address Details
Address
595 Route 25A Ste B
City
Miller Place
State
New York
Zip
11764-2646
Phone Number
631-849-1586
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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