COMMUNITY MEDICAL WELLNESS PC
Organization (NPI-2)
Active
Provider Information
- NPI Number
1073002473- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1041 ROUTE 112, PORT JEFFERSON STATION, NY, 117766000
- Phone
- (516) 314-5377
Specialties & Taxonomies
Unknown
Primary License: NY #276810-1
All Addresses
MAILING
PO BOX 463
FARMINGVILLE, NY, 117380463