FULL BODY FAMILY HEALTH NP P.C. NPI 1053183350

NPI Information

NPI: 1053183350
Provider Name: FULL BODY FAMILY HEALTH NP, P.C.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
160 NEW YORK AVE
WEST BABYLON, NY
ZIP 11704
Phone: (631) 539-0919
Get Directions

FULL BODY FAMILY HEALTH NP, P.C. is a family nurse practitioner in West Babylon, NY. FULL BODY FAMILY HEALTH NP, P.C. NPI is 1053183350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

160 NEW YORK AVE
WEST BABYLON, NY
ZIP 11704-803
Phone: (631) 539-0919

The provider's authorized official is Marshalette Gillings .
The authorized official title is Employee and has the following contact phone number (631) 530-0919.

The enumeration date for this NPI number is 10/30/2023 and was last updated on 10/30/2023.

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	Primary
1	163W00000X	Registered Nurse		No
2	171400000X	Health and Wellness Coach		No
3	174H00000X	Health Educator		No
4	207KA0200X	Allergy & Immunology	Allergy	No
5	207N00000X	Dermatology		No
6	207Q00000X	Family Medicine		No
7	207ZD0900X	Pathology	Dermatopathology	No
8	208VP0000X	Pain Medicine	Pain Medicine	No
9	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
10	213E00000X	Podiatrist		No
11	225100000X	Physical Therapist		No
12	246Z00000X	Specialist/Technologist, Other		No
13	247200000X	Technician, Other		No
14	363LF0000X	Nurse Practitioner	Family	Yes

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: 4/28/2024

NPI Synchronization or Removal

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