Evernorth Medical Care Providers New York Professional Corporation
Evernorth Medical Care Providers New York Professional Corporation provides Family Medicine Physician services in Melville, New York. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 7
Practice location Address checks out
555 Broadhollow Rd Ste 305Melville, NY 11747-5018
Phone: (773) 292-4800
Fax: (312) 564-4059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X |
| Hospice and Palliative Medicine (Family Medicine) Physician | Taxonomy 207QH0002X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Hospice and Palliative Medicine (Internal Medicine) Physician | Taxonomy 207RH0002X |
| Podiatrist | Taxonomy 213E00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1205234291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Lakes — Senior Paralegal · (954) 446-0640 |
| Other names | Dirk Wales Md Pc; Dirk Wales Md Pc |
| NPI enumerated | December 8, 2014 |
| Last updated in NPPES | July 14, 2025 |
| Certification date | July 14, 2025 |
| Mailing address | 730 Cool Springs Blvd Ste 500, Franklin, TN 37067-7331 |
Other providers in Melville
-
Behrouz Farahmandpour D.o.p.c.
25 Melville Park Rd Ste 200B, Melville, NY 11747-3156 · (631) 888-5957
-
Caresola Medical Services East PC
68 S Service Rd Ste 100 Ofc 72C, Melville, NY 11747-2350 · (941) 315-9429
-
Dr. Nabil F Eldeiry, MD
126 E Old Neck Rd, Melville, NY 11747 · (631) 662-9586
-
Ingrid Suhey Fuentes
610 Broadhollow Rd, Melville, NY 11747-5000 · (631) 483-5600
-
Dr. Ralph Levy, DO
748 Verona Dr, Melville, NY 11747 · (561) 637-0078
-
Oneika Newton, FNP-BC
8 Corporate Center Dr, Melville, NY 11747-3193 · (631) 902-9505
-
Dr. Aretha Nanda Persaud-Mancusi, MD
150 Broadhollow Rd Ste 311, Melville, NY 11747-4901 · (631) 470-7915