Refined Medical Wellness, Pllc | |
3400 Nesconset Hwy Ste 104 East Setauket NY 11733-3327 | |
(516) 704-7447 | |
Not Available |
Full Name | Refined Medical Wellness, Pllc |
---|---|
Speciality | Clinic/center |
Location | 3400 Nesconset Hwy Ste 104, East Setauket, New York |
Authorized Official Name and Position | Nycholle Gavilanes (MEMBER) |
Authorized Official Contact | 5167047447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Refined Medical Wellness, Pllc 3400 Nesconset Hwy Ste 104 East Setauket NY 11733-3327 Ph: () - | Refined Medical Wellness, Pllc 3400 Nesconset Hwy Ste 104 East Setauket NY 11733-3327 Ph: (516) 704-7447 |
NPI Number | 1831961796 |
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Provider Enumeration Date | 10/24/2023 |
Last Update Date | 10/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831961796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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