Blue Coast Medical Wellness, PLLC
Blue Coast Medical Wellness, PLLC provides Specialist services in Aquebogue, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
740 Main RdAquebogue, NY 11931
Phone: (631) 343-4184
Fax: (631) 343-4168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1710760376 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Brevetti — Owner/Provider · (917) 575-8907 |
| NPI enumerated | August 17, 2023 |
| Last updated in NPPES | August 17, 2023 |
| Certification date | August 14, 2023 |
| Mailing address | 4875 Sunrise Hwy Ste 302, Bohemia, NY 11716-4630 |
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