North Fork Medical PLLC
North Fork Medical PLLC is an Emergency Medicine Physician in Wading River, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6278 Route 25A Ste 4Wading River, NY 11792-2009
Phone: (631) 886-1500
Fax: (631) 886-1831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X |
|---|
Record details
| NPI number | 1528777810 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Neeta Mitchell — Office Manager · (631) 886-1500 |
| Other names | Balanced Health & Wellness |
| NPI enumerated | November 16, 2022 |
| Last updated in NPPES | November 16, 2022 |
| Certification date | November 16, 2022 |
| Mailing address | 6278 Route 25a Ste 4, Wading River, NY 11792-2009 |