Custom Trt US Inc
Custom Trt US Inc is a Medical Specialty Clinic/Center in Port Jefferson Station, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
69 Clymer StPort Jefferson Station, NY 11776
Phone: (631) 260-1945
Fax: (631) 403-1298
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1528883725 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amanda Wiermann — President · (516) 652-6509 |
| Other names | Custom Trt |
| NPI enumerated | November 21, 2024 |
| Last updated in NPPES | November 21, 2024 |
| Certification date | November 21, 2024 |
| Mailing address | P.O. Box 263, Port Jefferson Station, NY 11776 |
Other providers in Port Jefferson Station
-
Gregory J Diehl MD PC
11 Medical Dr Ste B, Port Jefferson Station, NY 11776-1589 · (631) 476-7300
-
North Suffolk Neurology, PC
5 Medical Dr, Port Jefferson Station, NY 11776-1601 · (631) 364-9119
-
Terryville Medical Associates
116 Terryville Rd, Port Jefferson Station, NY 11776-1329 · (631) 928-2002