Community Medical Wellness PC
NPI #1073002473 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1073002473
- Entity Type
- Organization
- Organization Name
- Community Medical Wellness PC
- Primary Specialty
- Pain Medicine - Pain Medicine
- Enumeration Date
- May 2, 2018
- Last Updated
- May 2, 2018
Practice Location
- Address
- 1041 ROUTE 112
- State
- New York
- ZIP Code
- 11776-6000
- Phone
- (516) 314-5377
Authorized Official
- Name
- MR. CHRISTOPHER DEFILIPPIS
- Title
- OPERATIONS MANAGER
- Phone
- (516) 314-5377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Pain Medicine — Pain Medicine |
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