| Amavi Medical Pllc | |
|
85 E Main St Bay Shore NY 11706-8338 | |
| (631) 665-3555 | |
| Not Available |
| Full Name | Amavi Medical Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 85 E Main St, Bay Shore, New York |
| Authorized Official Name and Position | Lynnea Villanova (OWNER) |
| Authorized Official Contact | 9199319430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amavi Medical Pllc 46 Saint Johns Pl Apt 2 Brooklyn NY 11217-3280 Ph: (919) 931-9439 | Amavi Medical Pllc 85 E Main St Bay Shore NY 11706-8338 Ph: (631) 665-3555 |
| NPI Number | 1881114122 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881114122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 203848 (New York) | Primary |
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