Port Jefferson Medical Wellness, Pllc

LBN: Port Jefferson Medical Wellness, Pllc
Port Jefferson Medical Wellness, Pllc is an health care organization with primary practice located at 14 Hart Pl , Dix Hills NY 11746-6214. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Port Jefferson Medical Wellness, Pllc can be contacted via phone (718) 554-1042, or through Bajaj, Varun via phone (718) 554-1042.

Contact Information

Primary practice address
14 Hart Pl Dix Hills NY 11746-6214
Phone: (718) 554-1042
Fax: (631) 978-7622
Website:
Map and Directions
Authorized official contact:
Name: Bajaj, Varun
Phone: (718) 554-1042

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1053975383
LBN Legal business name Port Jefferson Medical Wellness, Pllc
DBA Doing business as
Authorized official Bajaj, Varun
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2019
Last updated Apr 22nd, 2019 - about 5 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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