Shore to Shore Medical Wellness PLLC
Shore to Shore Medical Wellness PLLC provides Specialist services in Port Jefferson Station, 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.
Practice location Address checks out
1500 Route 112 Ste BPort Jefferson Station, NY 11776-8055
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 number | 1679211965 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Brevetti — Owner · (917) 575-8907 |
| NPI enumerated | May 25, 2022 |
| Last updated in NPPES | February 17, 2023 |
| Certification date | February 17, 2023 |
| Mailing address | 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 |
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