| Staci Leavitt Mind & Body Inc | |
|
27 Mcgovern Dr Melville NY 11747-4258 | |
| (516) 433-1456 | |
| Not Available |
| Full Name | Staci Leavitt Mind & Body Inc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 27 Mcgovern Dr, Melville, New York |
| Authorized Official Name and Position | Staci Leavitt Davidson (PRESIDENT) |
| Authorized Official Contact | 5164331456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staci Leavitt Mind & Body Inc 27 Mcgovern Dr Melville NY 11747-4258 Ph: (516) 433-1456 | Staci Leavitt Mind & Body Inc 27 Mcgovern Dr Melville NY 11747-4258 Ph: (516) 433-1456 |
| NPI Number | 1548097819 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548097819 | NPI | - | NPPES |
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