Mcevilley Forever Young Wellness, Ltd. | |
50 Broadway Greenlawn NY 11740-1336 | |
(347) 439-4983 | |
Not Available |
Full Name | Mcevilley Forever Young Wellness, Ltd. |
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Speciality | Family Medicine |
Location | 50 Broadway, Greenlawn, New York |
Authorized Official Name and Position | Candice Daniels (OWNER) |
Authorized Official Contact | 3474394983 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcevilley Forever Young Wellness, Ltd. 50 Broadway Greenlawn NY 11740-1336 Ph: (347) 439-4983 | Mcevilley Forever Young Wellness, Ltd. 50 Broadway Greenlawn NY 11740-1336 Ph: (347) 439-4983 |
NPI Number | 1194302950 |
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Provider Enumeration Date | 03/26/2021 |
Last Update Date | 04/28/2021 |
Identifier | Type | State | Issuer |
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1194302950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |