Prime for Life
NPI #1033478508 in Farmingdale, New York
Provider Information
- NPI Number
- 1033478508
- Entity Type
- Organization
- Organization Name
- Prime for Life
- Primary Specialty
- Social Worker
- Enumeration Date
- May 3, 2012
- Last Updated
- May 3, 2012
Practice Location
- Address
- 1111 BROADHOLLOW RD
- Address 2
- STE 214
- City
- Farmingdale
- State
- New York
- ZIP Code
- 11735-4820
- Phone
- (631) 626-1180
Authorized Official
- Name
- MRS. LYNETTE AREANNA SEEJATTAN
- Title
- OWNER
- Phone
- (631) 626-1180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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