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Shore To Shore Medical Wellness Pllc
Specialist in Port Jefferson Station, New York
NPI 1679211965

Shore To Shore Medical Wellness Pllc is a Specialist based in Port Jefferson Station, NY. Shore To Shore Medical Wellness Pllc practices in Port Jefferson Station, NY. The NPI Number for Shore To Shore Medical Wellness Pllc is 1679211965 and holds a License No. (New York).

The current practice location address for Shore To Shore Medical Wellness Pllc is 1500 Route 112 Ste B, Port Jefferson Station, NY and can be reached out via phone at 631-343-4184.

Location: 1500 Route 112 Ste B, Port Jefferson Station, NY, 11776-8055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679211965
Provider Name
Shore To Shore Medical Wellness Pllc
Credential
Provider Entity Type
Organization
Address
1500 Route 112 Ste B, Port Jefferson Station, NY, 11776-8055
Phone Number
631-343-4184
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1500 Route 112 Ste B
City
Port Jefferson Station
State
New York
Zip
11776-8055
Phone Number
631-343-4184
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Route 112 Ste B
City
Port Jefferson Station
State
New York
Zip
11776-8055
Phone Number
631-343-4184
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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