Organization · Type 2 NPI
Custom Fit Wellness
Clinic/Center · Ridge, NY
NPI number
1609647122
Active
Practice location
1808 Middle Country Rd
Ridge, NY 11961-2406
Mailing address
458 Randall Rd
Ridge, NY 11961-2102
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).
About NPI 1609647122
Custom Fit Wellness's National Provider Identifier is 1609647122, issued on Jan 12, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ridge, NY. The record was last updated on Jan 12, 2024.