SMITHTOWN FAMILY WELLNESS NP PC NPI 1215569041

NPI Information

NPI: 1215569041
Provider Name: SMITHTOWN FAMILY WELLNESS NP PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
300 E MAIN ST STE 2
SMITHTOWN, NY
ZIP 11787
Phone: (904) 654-2410
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SMITHTOWN FAMILY WELLNESS NP PC is a family nurse practitioner in Smithtown, NY. SMITHTOWN FAMILY WELLNESS NP PC NPI is 1215569041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 E MAIN ST STE 2
SMITHTOWN, NY
ZIP 11787-900
Phone: (904) 654-2410

The provider's authorized official is Tanza Edward .
The authorized official title is Executive Management and has the following contact phone number (904) 654-2410.

The enumeration date for this NPI number is 2/10/2020 and was last updated on 2/10/2020.

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
1	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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