Organization · Type 2 NPI
Blue Coast Medical Wellness, PLLC
Specialist · Aquebogue, NY
NPI number
1710760376
Active
Practice location
740 Main Road
Aquebogue, NY 11931
Fax (631) 343-4168
Mailing address
4875 Sunrise Hwy Ste 302
Bohemia, NY 11716-4630
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.
Other specialist providers in Aquebogue
About NPI 1710760376
Blue Coast Medical Wellness, PLLC's National Provider Identifier is 1710760376, issued on Aug 17, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Aquebogue, NY. The record was last updated on Aug 17, 2023.