Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stony Brook Holistic Wellness, LLC

Organization Nurse Practitioner · NPI 1235923269

Stony Brook Holistic Wellness, LLC is a Nurse Practitioner in Stony Brook, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 Nesconset Hwy Bldg 26
Stony Brook, NY 11790-2555
Phone: (631) 364-9038
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1235923269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Louis — Cfo · (631) 653-1007
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 25, 2026
Certification dateApril 25, 2026
Mailing address2500 Nesconset Hwy Bldg 26, Stony Brook, NY 11790-2555

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