L'elite Medispa Inc. | |
506b Walt Whitman Rd Melville NY 11747-2109 | |
(631) 824-6648 | |
(631) 824-9039 |
Full Name | L'elite Medispa Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 506b Walt Whitman Rd, Melville, New York |
Authorized Official Name and Position | Richina Lukes-milledge (NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 6314551965 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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L'elite Medispa Inc. 273 Walt Whitman Rd Ste 190 Huntington Station NY 11746-4149 Ph: (631) 824-6648 | L'elite Medispa Inc. 506b Walt Whitman Rd Melville NY 11747-2109 Ph: (631) 824-6648 |
NPI Number | 1235719063 |
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Provider Enumeration Date | 04/14/2021 |
Last Update Date | 04/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235719063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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