Refined Medical Wellness, Pllc
NPI #1831961796 in East Setauket, New York
Provider Information
- NPI Number
- 1831961796
- Entity Type
- Organization
- Organization Name
- Refined Medical Wellness, Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 3400 NESCONSET HWY STE 104
- City
- East Setauket
- State
- New York
- ZIP Code
- 11733-3327
- Phone
- (516) 704-7447
Authorized Official
- Name
- NYCHOLLE GAVILANES, MD
- Title
- MEMBER
- Phone
- (516) 704-7447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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