Custom Fit Wellness | |
1808 Middle Country Rd Ridge NY 11961-2406 | |
(516) 946-9417 | |
Not Available |
Full Name | Custom Fit Wellness |
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Speciality | Clinic/center |
Location | 1808 Middle Country Rd, Ridge, New York |
Authorized Official Name and Position | Susan Yeoman (OWNER) |
Authorized Official Contact | 5169469417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Custom Fit Wellness 458 Randall Rd Ridge NY 11961-2102 Ph: (516) 946-9417 | Custom Fit Wellness 1808 Middle Country Rd Ridge NY 11961-2406 Ph: (516) 946-9417 |
NPI Number | 1609647122 |
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Provider Enumeration Date | 01/12/2024 |
Last Update Date | 01/12/2024 |
Identifier | Type | State | Issuer |
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1609647122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |