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11 Medical Drive Wellness Pllc
Emergency Medical Services (Emergency Medicine) Physician in Port Jefferson Station, New York
NPI 1902332588

11 Medical Drive Wellness Pllc is a Emergency Medical Services (Emergency Medicine) Physician based in Port Jefferson Station, NY and is specialized in Emergency Medical Services. 11 Medical Drive Wellness Pllc practices in Port Jefferson Station, NY. The NPI Number for 11 Medical Drive Wellness Pllc is 1902332588 and holds a License No. (New York).

The current practice location address for 11 Medical Drive Wellness Pllc is 11 Medical Dr, Port Jefferson Station, NY and can be reached out via phone at 631-509-6066 and via fax at 631-849-5824.

Location: 11 Medical Dr, Port Jefferson Station, NY, 11776-1589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902332588
Provider Name
11 Medical Drive Wellness Pllc
Credential
Provider Entity Type
Organization
Address
11 Medical Dr, Port Jefferson Station, NY, 11776-1589
Phone Number
631-509-6066
Fax Number
631-849-5824
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776-1589
Phone Number
631-509-6066
Fax Number
631-849-5824
person
Provider Business Mailing Address Details
Address
11 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776-1589
Phone Number
631-509-6066
Fax Number
631-849-5824
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
()
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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