Premier Edx & Wellness

NPI #1649525296 in Suffern, New York

Provider Information

NPI Number: 1649525296
Entity Type: Organization
Organization Name: Premier Edx & Wellness
Primary Specialty: Specialist
Enumeration Date: Jul 19, 2012
Last Updated: Jul 19, 2012

Practice Location

Address: 11 VIOLA RD
City: Suffern
State: New York
ZIP Code: 10901-3205
Phone: (845) 641-1212

Authorized Official

Name: DR. MELINDA LEE MILLER
Title: PRESIDENT
Phone: (845) 641-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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