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Blue Coast Medical Wellness, Pllc
Specialist in Aquebogue, New York
NPI 1710760376

Blue Coast Medical Wellness, Pllc is a Specialist based in Bohemia, NY. Blue Coast Medical Wellness, Pllc practices in Aquebogue, NY. The NPI Number for Blue Coast Medical Wellness, Pllc is 1710760376 and holds a License No. (New York).

The current practice location address for Blue Coast Medical Wellness, Pllc is 740 Main Road, Aquebogue, NY and can be reached out via phone at 631-343-4184 and via fax at 631-343-4168.

Location: 740 Main Road, Aquebogue, NY, 11716-4630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710760376
Provider Name
Blue Coast Medical Wellness, Pllc
Credential
Provider Entity Type
Organization
Address
740 Main Road, Aquebogue, NY, 11716-4630
Phone Number
631-343-4184
Fax Number
631-343-4168
Provider Enumeration Date
08/17/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
740 Main Road
City
Aquebogue
State
New York
Zip
11931
Phone Number
631-343-4184
Fax Number
631-343-4168
person
Provider Business Mailing Address Details
Address
740 Main Road
City
Aquebogue
State
New York
Zip
11931
Phone Number
631-343-4184
Fax Number
631-343-4168
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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