Organization · Type 2 NPI
11 Medical Drive Wellness PLLC
Emergency Medical Services (Emergency Medicine) Physician · Port Jefferson Station, NY
Practice location
11 Medical Dr, Suite B
Port Jefferson Station, NY 11776-1589
Fax (631) 849-5824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | None listed |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
3 other providers at this address
About NPI 1902332588
11 Medical Drive Wellness PLLC's National Provider Identifier is 1902332588, issued on May 3, 2017. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Port Jefferson Station, NY. The record was last updated on May 3, 2017.