Organization · Type 2 NPI
Northshore Wellness Medical PC
Clinic/Center · East Islip, NY
NPI number
1881340628
Active
Practice location
88 E Main St
East Islip, NY 11730-2528
Mailing address
32 Roslyn Ct
Port Jefferson, NY 11777-1433
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 1881340628
Northshore Wellness Medical PC's National Provider Identifier is 1881340628, issued on Mar 1, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in East Islip, NY. The record was last updated on Mar 1, 2022.