Prime For Life | |
1111 Broadhollow Rd Ste 214 Farmingdale NY 11735-4820 | |
(631) 626-1180 | |
(631) 393-6485 |
Full Name | Prime For Life |
---|---|
Speciality | Social Worker |
Location | 1111 Broadhollow Rd, Farmingdale, New York |
Authorized Official Name and Position | Lynette Areanna Seejattan (OWNER) |
Authorized Official Contact | 6316261180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prime For Life 1111 Broadhollow Rd Ste 214 Farmingdale NY 11735-4820 Ph: (631) 626-1180 | Prime For Life 1111 Broadhollow Rd Ste 214 Farmingdale NY 11735-4820 Ph: (631) 626-1180 |
NPI Number | 1033478508 |
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Provider Enumeration Date | 05/03/2012 |
Last Update Date | 05/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033478508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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