Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coast to Coast Medical Wellness, PLLC

Organization Specialist · NPI 1093432445

Coast to Coast Medical Wellness, PLLC provides Specialist services in Melville, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 Broadhollow Rd Ste 222
Melville, NY 11747-4901
Phone: (631) 343-4184
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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 number1093432445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Brevetti — Cmo · (917) 575-8907
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022
Mailing address1500 Route 112 Bldg 8, Port Jefferson Station, NY 11776-8054

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