11 Medical Drive Wellness Pllc

LBN: 11 Medical Drive Wellness Pllc
11 Medical Drive Wellness Pllc is an health care organization with primary practice located at 11 Medical Dr Suite B, Port Jefferson Station NY 11776-1589. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as the primary health care specialty. 11 Medical Drive Wellness Pllc can be contacted via phone (631) 509-6066, or through Roy, Laura via phone (631) 805-6384.

Contact Information

Primary practice address
11 Medical Dr Suite B Port Jefferson Station NY 11776-1589
Phone: (631) 509-6066
Fax: (631) 849-5824
Website:
Map and Directions
Authorized official contact:
Name: Roy, Laura
Phone: (631) 805-6384

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X

Profile Details

NPI number 1902332588
LBN Legal business name 11 Medical Drive Wellness Pllc
DBA Doing business as
Authorized official Roy, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2017
Last updated May 3rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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