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PROGRESSIVE MEDICAL FITNESS PC NPI 1720608151


NPI Information

NPI: 1720608151
Provider Name: PROGRESSIVE MEDICAL FITNESS PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
389 FORT SALONGA RD STE 2
NORTHPORT, NY
ZIP 11768
Phone: (631) 201-2474
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PROGRESSIVE MEDICAL FITNESS PC is a family medicine in Northport, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROGRESSIVE MEDICAL FITNESS PC NPI is 1720608151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

389 FORT SALONGA RD STE 2
NORTHPORT, NY
ZIP 11768-089
Phone: (631) 201-2474
Fax: (631) 382-8325

The provider's authorized official is Harold Avella .
The authorized official title is Owner and has the following contact phone number (631) 201-2474.

The enumeration date for this NPI number is 4/27/2020 and was last updated on 4/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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