Organization · Type 2 NPI
Port Jefferson Medical Wellness, PLLC
Clinic/Center · Dix Hills, NY
NPI number
1053975383
Active
Practice location
14 Hart Pl
Dix Hills, NY 11746-6214
Fax (631) 978-7622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: 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).
Other clinic/center providers in Dix Hills
About NPI 1053975383
Port Jefferson Medical Wellness, PLLC's National Provider Identifier is 1053975383, issued on Apr 22, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dix Hills, NY. The record was last updated on Apr 22, 2019.