Organization · Type 2 NPI
Port Jefferson Medical Wellness PLLC
Clinic/Center · Miller Place, NY
NPI number
1649855099
Active
Practice location
595 Route 25A Ste B
Miller Place, NY 11764-2646
Mailing address
85 S Ocean Ave
Patchogue, NY 11772-3702
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 Miller Place
About NPI 1649855099
Port Jefferson Medical Wellness PLLC's National Provider Identifier is 1649855099, issued on Mar 16, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Miller Place, NY. The record was last updated on Mar 16, 2021.