Port Jefferson Medical Wellness Pllc
NPI #1649855099 in Miller Place, New York
Provider Information
- NPI Number
- 1649855099
- Entity Type
- Organization
- Organization Name
- Port Jefferson Medical Wellness Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 16, 2021
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 595 ROUTE 25A STE B
- City
- Miller Place
- State
- New York
- ZIP Code
- 11764-2646
- Phone
- (631) 849-1586
Authorized Official
- Name
- MARIANN MELICHAREK, MD
- Title
- OWNER
- Phone
- (516) 286-4441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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