Organization · Type 2 NPI
Coast To Coast Medical Wellness, PLLC
Specialist · Melville, NY
NPI number
1093432445
Active
Practice location
150 Broadhollow Rd Ste 222
Melville, NY 11747-4901
Mailing address
1500 Route 112 Bldg 8
Port Jefferson Station, NY 11776-8054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: 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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About NPI 1093432445
Coast To Coast Medical Wellness, PLLC's National Provider Identifier is 1093432445, issued on Oct 26, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melville, NY. The record was last updated on Oct 26, 2022.