Organization · Type 2 NPI

Elevatedwellcarellc

Primary Care Clinic/Center · Laurelton, NY

NPI number 1215876230 Active

Practice location

23204 131st Ave
Laurelton, NY 11413-1811

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1215876230

Elevatedwellcarellc's National Provider Identifier is 1215876230, issued on Mar 26, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Laurelton, NY. The record was last updated on Mar 26, 2026.