11 Medical Drive Wellness PLLC

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1902332588

11 Medical Drive Wellness PLLC is an Emergency Medical Services (Emergency Medicine) Physician in Port Jefferson Station, New York. Registered with an NPI since 2017.

In the registry since: 2017

What do these letters mean?

PLLC — Professional limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 Medical Dr Ste B
Port Jefferson Station, NY 11776-1589
Phone: (631) 509-6066
Fax: (631) 849-5824

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary)	Taxonomy 207PE0004X

Record details

NPI number	1902332588
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Dh Management Group LLC
Authorized official	Laura Roy — Practice Manager · (631) 805-6384
NPI enumerated	May 3, 2017
Last updated in NPPES	May 3, 2017
Mailing address	11 Medical Dr, Suite B, Port Jefferson Station, NY 11776-1589